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Operator`s Manual Auto SyringeAS50

1. The Keypad The keypad includes a standard set of number keys and smr so 2 decimal point referred to in this document as digit keys arrow keys and various function keys Ca 9 Cw rue Coir 7 Ce DC Bus 4 jCs Ce Cer 1 Ce 3 Cock v JC C comm Arrow Keys The up arrow key A increases a number selects a different field or displays the next item in a list The down arrow key W decreases a number selects a different field or displays the previous item in a list Digit Keys c The digit keys are used to enter numeric CJ Ce values directly SEE CJL Function Keys These keys activate specific functions Action Keys Confirm Key These keys start and stop the pump motor C stant JC STOP This key is used to complete a programming step to respond to a prompt or to display additional infusion program information Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 18 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 General Information The Status Panel RUN lights ALERT BATTERY ON CHARGE STANDBY LOCK SYSTEM When the pump is in the Run state one or more of the green RUN Baxter _ lights are on AUN amp LJ When the pump is infusing the th
2. Page 54 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Additional Functions and Operations Bolus Function Note lf a protocol is selected the bolus function may not be allowed If the protocol dis allows the bolus function the pump beeps and displays the message NOT ALLOWED when BOLUS is pressed A bolus is a fixed dose which may be programmed and delivered either during an infusion or while the pump is in Standby state The pump allows the operator to program the rate of infusion for a bolus and to program the bolus size either in terms of dose or volume where applicable Bolus Units Infusion Mode Bolus Size Units mL hr mL min mL milliliters Units hr Units min mUnits hr Units mUnits min mg hr mg min mcg hr mcg min mg milligrams mg kg hr mg kg min mg kg milligrams of drug per CUSTOM DILUTION kilogram of patient body weight mcg kg hr mcg kg min mcg kg micrograms of drug per kilogram of patient body weight SINGLE DOSE MANUAL SCHEDULE Bolus not allowed AUTO SCHEDULE Bolus Size Limits The minimum programmable bolus size is approximately the same as the minimum deliverable volume see Syringe Data Tables on page 25 The maximum programmable bolus size is the lesser of e The syringe size the entire syringe may be programmed as a single bolus e 9999 Units 9999 mg 9999 mg kg or 9999 mcg kg depending on the selected mode Printed from th
3. Programming Units hr Units min mUnits hr and mUnits min Modes In these modes the pump runs at a programmed constant rate The infusion is programmed in terms of drug concentration and dose Note If a protocol has been selected the infusion mode may have been selected auto matically 1 Atthe SELECT MODE AY prompt use A or V to display the available infusion mode selections Press CONFIRM to select the desired infusion mode 2 Use A or V and CONFIRM as required to select the syringe manufacturer and size Note lf a protocol has been selected a default drug concentration may appear automat ically If a default drug concentration is displayed use A and V or the digit keys to modify this value as necessary and press CONFIRM to complete the data entry 3 Atthe ENTER CONCENTR prompt enter the drug concentration CONC in Units mL Press CONFIRM to complete the data entry Note lf a protocol has been selected a default dose may appear automatically Use A and V or the digit keys to modify this value as necessary and press CONFIRM to complete the data entry 4 Atthe ENTER DOSE prompt enter the dose in Units hr Units min mUnits hr or mUnits min mUnits milliUnits depending on the infusion mode selected Press CONFIRM to complete the data entry The pump automatically calculates and displays the equivalent rate in mL hr Bolus in Units hr Units min mUnits hr and mUnits min Modes Note lf a protocol has been s
4. THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Index 3 SINGLE DOSE mode 41 timed infusion modes 13 PROPOFOL protocol 68 protocol library bypassing 22 groups 63 option 64 overview 21 selecting 32 using 32 PSI range 65 PUMP IS IDLE alarm 82 alert 79 PUMP LIMIT error 79 purging delivery table 54 description 53 instructions 53 manual 28 R rate range option 65 REMIFENT protocol 68 remote control 64 reviewing configuration options 61 ROCURONI protocol 68 RS232 port 9 run lights 19 state 20 editing in 50 S serial communication 22 service information 85 number 76 85 SINGLE DOSE mode 41 SIZE MISMATCH error 79 size override option 64 SIZE UNKNOWN error 79 specifications 15 standby light 19 state 20 editing in 48 status display description 16 status panel description 19 illustration 9 SUCCINYL protocol 68 SUFENTAN protocol 68 syringe changing 58 data tables 25 factory standard configuration 67 manufacturers 15 group 63 selection 16 mounting 28 sensor check 75 size selection 16 system light 19 T tables alarms 81 alerts 78 bolus units 55 configuration review 62 error responses 78 fail safe alarms 83 infusion rate 25 programming continuous infusion modes 12 timed infusion modes 13 purge delivery
5. THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 46 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions Example Program the pump to infuse 5 mL over 5 minutes using a B D 30 mL syringe Stop the infusion when the TOTAL ML field shows that about 2 mL have been delivered Now edit the OVER field to 6 minutes note that DOSE CANCELED appears for a few seconds and start the infusion When the pump stops after 6 minutes about 7 mL will have been delivered 2 mL from the original infusion and 5 mL from the edited infusion Note Pressing CONFIRM during delivery briefly displays additional program data Bolus operation is not available in this delivery mode Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 47 Detailed Instructions General Programming Information Data Entry The digit keys are used to enter program data Before pressing CONFIRM to complete a program data entry the value can be changed by pressing A or V or can be replaced by pressing CLR and entering a new value A value that appears automatically as a result of selecting a protocol can be changed by pressing A or W or can be replaced by entering a new value without pressing CLR Field S
6. Press CONFIRM to complete the data entry Note lf a protocol has been selected a default drug concentration may appear automat ically If a default drug concentration is displayed use A and V or the digit keys to modify this value as necessary and press CONFIRM to complete the data entry 4 Enterthe drug concentration CONC in mg mL Press CONFIRM to complete the data entry Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 37 Detailed Instructions Note If a protocol has been selected a default dose may appear automatically Use A and or the digit keys to modify this value as necessary and press CONFIRM to complete the data entry 5 Enter the dose in mg kg hr mg kg min mcg kg hr or mcg kg min depending on the infusion mode selected Press CONFIRM to complete the data entry The pump automatically calculates and displays the equivalent rate in mL hr Bolus in mg kg hr mg kg min mcg kg hr and mcg kg min Modes Note lf a protocol has been selected bolus delivery may be disallowed or a default bolus size may appear automatically If a default bolus size is displayed use A and or the digit keys to modify the value as necessary In mg kg hr and mg kg min modes bolus size is entered in mg kg In mcg kg hr and mcg kg min the bolus size is entered in mcg k
7. Problems associated with a particular syringe size or manufacturer are likely to be caused by variations in syringe dimensions Typical symptoms are an inability to completely empty certain syringes and LINE OCCLUDED alarms when the syringe becomes empty If you apply tape paper stickers or labels to the syringe the apparent diameter of the syringe barrel may increase which can impair the accuracy of the Syringe Recognition system Syringe Recognition problems may be caused by improperly mounted syringes Excess clamping force can crush the syringe barrel which results in an erroneous barrel diameter reading Frequent CHECK BARREL messages may be caused by improperly centering the syringe in the barrel clamp cradle If the pump fails to operate as described contact the Baxter Healthcare Corporation Andover Service Center for assistance at 1 800 343 0366 Customer Service 1 800 634 4602 Technical Service Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 76 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Alerts and Alarms The pump notifies the operator when important conditions occur e Alert A condition has occurred which requires operator attention The following indications occur The pump continues to operate The ALERT light flashes The pump beeps The front panel and status lights may display addi
8. a dose without interruption of fluid flow and easily understood alarm and alert messages The pump includes an optional serial communication feature which provides remote computer control and monitoring capabilities A standard 9 pin connector allows an RS 232 communication link between the pump and the host computer The Auto Syringe AS50 Infusion Pump Programmer s Manual describes the use of this feature The pump can be custom configured to select key features that meet specific requirements Configurable options include e Audio range e Auto default to previous mode e Backlight e Infusion mode selections e Keypad auto lock e Maximum infusion rates e Occlusion pressure sensitivity e Protocol library e Remote computer control e Syringe manufacturer type and size selections Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 3 Device Description The selected options can easily be reviewed and the chosen configuration can be changed to meet new or different requirements The pump operates on an internal rechargeable battery pack and can also be operated while attached to a 900 Series battery charger model number CAS40 01 900 or to a Multi Charger product code 1M8563 The pump is supplied with a pole clamp and a built in IV pole loop The pump can
9. delay program NEXT DOSE IN 0 00 field to 0 00 6 When the DOSE DUE alarm occurs press START to deliver one dose Note Ifthe Protocol Library feature is active these modes can be accessed directly by selecting NONE if available at the SELECT LIBRARY or SELECT PROTOCOL programming step Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 13 Simplified Instructions This page is intentionally blank Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 14 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 General Information Technical Specifications Model Catalog Code Size Weight Flow Rate Accuracy Volume Accuracy Syringes Flow Rate Range Deliverable Volume Data Display Status Display Power Requirement Battery Operating Time Temperature Range Keypad Construction Auto Syringe AS50 Infusion Pump 1M8550 approx 3 4 x 2 6 x 10 8 6 x 6 7 x 25 cm approx 3 2 Ib 1 45 kg 3 of full scale plunger travel not including syringe tolerance 3 or 0 007 of travel whichever is greater not including syringe tolerance B D 1 3 5 10 20 30 60 mL plastic Sherwood Monoject 1 3 6 12 20 35
10. in the text field For a list of the supported infusion modes see the Configuration Review Table on page 62 Syringes Group VIEW SYRINGES This option group displays the enabled syringe sizes for each enabled syringe manufacturer Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 63 Configuration For each enabled manufacturer the pump displays a VIEW name prompt where name is the manufacturer s name A pending Y response is also displayed To begin reviewing the enabled syringe sizes for that manufacturer press CONFIRM to accept the Y response Syringe size descriptions are displayed in the text field Press CONFIRM to view each additional syringe To skip a manufacturer press either A or W to change the Y to Nand press CONFIRM The available manufacturer names and sizes are listed in the Syringe Data Tables on page 25 Defaults Group VIEW DFAULTS This option group displays the default options that are enabled The pump allows four default options Default Library DFAULT LIBRARY Default Protocol DFAULT PROTOCOL Default Mode DFAULT MODE and Default Manufacturer DFAULT MFR The defaults enable the pump to recall the selection that was used for the previous infusion and to provide that selection in response to the first W or A keypress This feat
11. keys simultaneously There should be no response Press and hold any key except A V START STOP and CONFIRM There should be only one beep no matter how long the key is held down Press and hold any key except A V START STOP and CONFIRM then press any other key There should be no response to the second keypress Press and briefly hold down START and STOP one at a time The pump should sound repeated beeps while each key is held down Holding down START for a prolonged period of time will cause a failsafe alarm Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 75 Pump Maintenance Battery Voltage Check Note Battery voltage display is only an approximate indication of the battery s remaining charge If the battery voltage is less than 6 1 volts or is dropping rapidly assume that the charge remaining in the battery is minimal Recharge the battery To display the battery voltage press CONFIRM after the pump is fully programmed The battery voltage should be more than 6 1 V if the pump is to be operated on battery power A charged battery displays a battery voltage of approximately 7 0 volts In Case of Difficulty Check the IV extension set carefully to be sure the tubing is not pinched and that there are no obstructions to prevent proper fluid flow
12. manufacturer manufacturer syringe size syringe size syringe size syringe size syringe size 2 Enter target rate in mL hr 3 Enter body weight Enter body weight in kg in kg 4 Enter drug Enter drug Enter drug Enter drug concentration in concentration in concentration in mg concentration in mg Units mL mg mL mL mL 5 Enter infusion rate Enter dose in Enter dose in Enter dose in Enter target dose in in mL hr or mL Units hr Units min mcg hr mcg min mcg kg hr mcg kg min min mUnits hr or mg hr or mg min mcg kg min mUnits min mg kg hr or mg kg min 6 Enter final volume in mL 7 Enter volume limit See last Note in mL below 8 Enter bolus size in Enter bolus size in Enter bolus size in Enter bolus size in Enter bolus size in mL Units mg mcg kg or mg kg mcg kg Notes mL milliliters kg kilograms mg milligrams mcg micrograms mUnits milliunits If the Protocol Library feature is active these modes can be accessed directly by selecting NONE if available at the SELECT LIBRARY or SELECT PROTOCOL programming step The mode rate concentration dose bolus size and maximum bolus rate may be initialized automatically if a protocol is selected Bolus programming is optional Bolus programming may be disallowed if a protocol is selected Note Custom Dilution mode Press CONFIRM to acknowledge the displayed Drug Volume Mix the indicated drug volume with sufficient IV fluid to produce the
13. 02 0 0c eee eee eee 48 Data BONY ouch cecebueseewaneeene de Geeteu TIT 48 gie o c IET 48 Editing in Standby State lllsilllllslsllllsslsss 48 Programming Notes iilllsilleeeee eres 50 Editing in Run State ois cesa anes E ex mex REWESTEAREE ETT tee ey 50 Edit Cancellation iuste Lore waa x Gaus SE ee ee ees ee oe a es 50 Number Out of Rand csse sr oRepESEREESTEREGqUG E Uds E aad 51 Data shte ci Sou beet XT Sae AE uda ede d ER kes 51 Additional Functions and Operations slsslleeeereeeere 53 Purge FUNCHONG CRM 53 Purge Procedure aana annaa PRU Ere dod Rr en beasties ae ees 53 Purge Delivery Tables Sess vee deeds dd i oeeee eee ER EUER bees 54 Bolus UOTE uuo d PRO poe bles ons tee ea nE EEEE renner eee oes 55 sS TP 55 Bolus Size Dile e vare ec Vae hag he EIER HW WR He re ce p qd 55 BOWS PIBIO ua te goba uc deoa eura dtr dug de q t o bud rede didos d qoa Y dd 56 Bolus Programming secese uice ied RR sdua ECRIRE CR ad Red oe 56 Bolus Programming Notes suele RR r3 REI Rx 57 Bolus Delivery Pr cp 57 Bolus Delivery Notes nnan annaa aana 57 Bolus ReVIBW 2 2 2 20b c4 nananana aaee 57 BOWS EO scio pri Pein e Ee gi e re hw Ee meee ted 58 Repeating a Bolus Delivery 0 0002 58 Changing the Syringe sega euo do eee RR EEE Ta Se Pde DE ERE be esq 58 Lock and Auto Lock Functions seeker ER t RR Re SOR Rx uen 59 The Total Delivered Display llllleseell
14. 60 mL Terumo 1 3 5 10 20 30 60 mL 0 01 mL hr to 438 mL hr depending on the syringe Full syringe volume for 1 60 mL syringes Self prompting multi field LCD Liquid Crystal Display Nine LED Light Emitting Diode array AC 105 125V 60 Hz battery charger DC internal rechargeable battery pack 5 hours of operation at 100 mL hr or 12 hours of operation at 2 mL hr using a 60 mL syringe following a charge of no less than 16 hours 50 F to 104 F 10 C to 40 C Delivery of high viscosity fluids at low temperatures is not recommended Elastomeric type with tactile feedback Water resistant high impact plastic case with removable elastomeric protective bumpers Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Auto Syringe AS50 Infusion Pump Operator s Manual Page 15 General Information The Status Display The status display has eight information areas called fields Except for the text field at the bottom each field SYRINGE iid FO d mfr size iM f ad displays three types of information INFUSE X0 E mL min RATE HEH mL hr e The markings on the left and right side of each field are called annunciators The left annunciators identify the OVER O Oe I w l l BODY FD OSI Ut nmin type of data contained in the field while the right annunciators identify the units of measure EV
15. SCHEDULE mode START must be pressed to deliver each dose and continue the infusion regimen Pressing any other key silences the audio portion of the DOSE DUE alarm and leaves the pump in Standby state without initiating a dose delivery For MANUAL SCHEDULE mode it is recommended that the Idle Alarm feature be enabled configured and that the Auto Lock feature be disabled not configured All time displays use standard time notation the two digits to the left of the colon show hours the two digits to the right show minutes The programmed delivery can be stopped at any time by pressing STOP The RUN light s then turn off the STANDBY light begins flashing and the TOTAL ML field stops counting up Press START to continue the infusion program Note Pressing STOP affects the NEXT DOSE IN time field in two different ways depend ing on the pump s infusion status at the time If STOP is pressed while the pump is infusing a dose the three RUN lights are flashing in sequence the NEXT DOSE IN field will stop counting down until START is pressed again This feature allows the schedule to be delayed while ensuring delivery of the full dose If STOP is pressed while the pump is counting down the time to the next dose only the top RUN light is flashing the NEXT DOSE IN field will continue to count down while the pump is stopped This feature allows editing during idle time without altering the overall schedule If a dose becomes due
16. a short beep If the pump is configured to show an identifier message it will appear in the text field at the bottom of the status display This completes the preliminary operations Printed from the Baxter Intranet SYRINGE d A G8 mfr size IN rks SC we RRENA BOY DA EE Ebo me EVERY Bg Hs l D norm c CONC Bst o hr min Rose FE Jot ba wat TOTAL FINAL YT peed 53d marame VOL LIMITVOL paan TOTAL DRUG 5 0 D mel VOL Ns cj mL EM DH DR DH DR D EXON DR DR DR EK KLEN THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 31 Detailed Instructions Programming The pump is ready for programming when the preliminary operations have been completed The initial programming prompt is determined as follows e lf the Protocol Library feature is enabled a protocol selection prompt is displayed Continue with the Using Protocols section below e lf the Protocol Library feature is not enabled a mode selection prompt is displayed Skip to the appropriate mode programming section below For additional information about programming the pump see General Programming Information on page 48 Using Protocols If the Protocol Library feature is enabled the pump display alternates the prompts AV SELECT LIBRARY and AW SELECT PROTOCOL Selecting a Protocol Library If
17. also be used on a tabletop Information on writing custom software for the pump is available in the Auto Syringe AS50 Infusion Pump Programmer s Manual Information on troubleshooting and repair of the pump is available in the Auto Syringe AS50 Infusion Pump Service Manual Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 4 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Precautions Federal USA law restricts this device to sale by or on the order of a physician The charger port is to be used only with 900 Series chargers or other accessories that are labeled specifically for use with Auto Syringe AS40A or AS50 Series Infusion Pumps including the 1M8563 Multi Charger CAUTION Refer all service repair and calibration to qualified technical personnel CAUTION Do not operate the Auto Syringe AS50 Infusion Pump in the presence of flammable anesthetics oxygen enriched or explosive atmospheres gt ee D e Though the factory supplied configuration settings are suitable for most therapies the operator and hospital professionals should verify that the pump s settings are appropriate for the clinical application e The Protocol Library feature is a configuration option developed to facilitate infusion programming Before using a protocol for any specific drug refer to the full prescribing information supplied
18. by the drug manufacturer e As with all medical electronic equipment care must be exercised to avoid exposing this device to powerful sources of electromagnetic interference e Do not expose the pump to X rays gamma rays or other ionizing radiation or to strong electric or magnetic fields e Donot autoclave steam sterilize EtO sterilize or subject the pump or charger to temperatures in excess of 104 F 40 C e Donotuse the following chemicals on the device as they will damage the front panel acetone acetoaldehyde ammonia benzene hydroxytoluene methylene chloride and ozone Do not use cleaners containing n alkyl dimethyl ethylbenzyl ammonium chloride unless they appear in the list of recommended cleaners in the Pump Maintenance section of this manual e Do not use hard or sharp objects on the keypad Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 5 Precautions e f a LINE OCCLUDED alarm occurs RELIEVE THE RESIDUAL PRESSURE IN THE SYRINGE BY RELEASING THE PLUNGER DRIVER If the pressure is not relieved prior to clearing the occlusion an unintentional bolus delivery may occur when the blockage is cleared Check for kinked tubing clogged catheter closed stopcocks etc Check for foreign material preventing movement of the pump mechanism e Besure to PURGE T
19. editing until an infusion or bolus is started At that point the pump replaces the original drug concentration CONC with the final drug concentration and clears the fields containing the final volume FINAL VOL and the drug volume DRUG VOL The rate of infusion patient body weight and dose remain displayed Pressing CONFIRM temporarily displays the hidden program data original drug concentration final volume and drug volume Target rate RATE limits are determined by the syringe selection and Rate Range configuration see Syringe Data Tables on page 25 for minimum and maximum infusion rates for each syringe The patient body weight range is from 0 01 to 200 0 kilograms kg The drug concentration range is from 0 0001 mg mL to 100 0 mg mL The concentration range may be further limited for very large or small body weights Target dose limits are determined by the drug concentration and syringe selection Final Volume range is from 30 mL to 250 mL The CONC and BODY WT fields cannot be reprogrammed once the infusion has been started A bolus can only be programmed edited or delivered after the pump has been fully programmed Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 40 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions Programming SINGLE DOSE Mode SINGLE DOSE mode delivers a p
20. field Use A and V to select the field to be changed Press EDIT Use A V and the digit keys as necessary to enter the new value Press CONFIRM to complete the change Use A and V to return to the FINAL VOL field Press EDIT Use A V and the digit keys as necessary to enter the final volume Press CONFIRM to complete the entry Finish programming Only the final volume field will be editable after the confirm key has been pressed and the pump starts running or delivers a bolus To make a change to the final volume field 7 Press EDIT Use A V and the digit keys as necessary to enter the new value Press CONFIRM to complete the change The final concentration is displayed when a bolus or infusion is initiated Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 49 Detailed Instructions Programming Notes If the FINAL VOL field is altered after the solution has been mixed the solution must be re mixed using the new DRUG VOL quantity 1 For maximum accuracy in measuring the drug volume select the smallest syringe that will contain the entire DRUG VOL quantity 2 The DRUG VOL field may not be edited at any time once it has been programmed 3 Refer to Programming Notes on page 40 Editing in Run State The fields that can be edited while t
21. in the drive mechanism and thus ensure prompt fluid delivery when the infusion starts Precaution To prevent unintended delivery to the patient the IV extension set must be disconnected from the patient while purging The Purge Delivery Table on page 54 lists the nominal amount of fluid delivered in one complete Purge cycle if there were no slack in the drive mechanism Use this information for calculating the excess fluid allowance when filling the syringe Purge operation is allowed only when the pump is in Standby state Purge Procedure Precaution To prevent unintended delivery to the patient the IV extension set must be disconnected from the patient while purging 1 After programming the pump press STOP if necessary to put the pump in Standby 2 Press PURGE The normal display is temporarily replaced by a display showing the purge rate in mL hr and the message PURGE READY Note If START is not pressed within 10 seconds the purge function is canceled and the pump reverts to Standby state If a steady drip of fluid is observed before the full purge volume is delivered purg ing can be stopped immediately by pressing STOP 3 Press START to begin delivering the fixed purge volume The accumulating purge volume is displayed while purging is in progress then the normal Standby state display resumes and the text field reads PURGE COMPLETE for a few seconds The purge may be repeated until the required volume is ac
22. infusion rate mL hr or mL min Printed from the Baxter Intranet IBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 16 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 General Information Field 3 displays dose duration HH MM or patient body weight kg Field 4 displays dose interval HH MM drug Units concentration mg mL or U mL or bolus size EVERY D fol D mg mL Units or mL CONC ob p QU QU Q5 hr min Field 5 displays time remaining until the next dose is due hh mm dose size mcg min mcg hr mg min mg hr mcg kg min mcg kg hr mg kg min mg kg hr mU min mU hr U min or U hr or bolus size mg mcg kg mg kg or Units Field 6 displays total delivered mL mcg mg or grams volume limit mL bolus size mL TOTAL FINAL y7 D or final volume mL voL LiMITVOL Pss Cs Field 7 displays total delivered mL or drug volume to be mixed with infusion base solution mL TOTAL Field 8 displays text prompts and messages H Pees ES 0 B Bs Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 17 General Information
23. is displayed use A and Y or the digit keys to modify the value as necessary In these modes bolus size is entered in mg or mcg The pump automatically calculates the equivalent bolus size in mL and displays both values Bolus rate is displayed in mL hr See Bolus Function on page 55 for more information on bolus delivery Programming Notes 1 The drug concentration range is from 0 0001 mg mL to 100 0 mg mL The dose limits are determined by the drug concentration and syringe selection See Syringe Data Tables on page 25 for minimum and maximum infusion rates for each syringe 2 The CONC field cannot be reprogrammed once the infusion has been started 3 Pressing CONFIRM during delivery briefly displays additional program data 4 A bolus can only be programmed edited or delivered after the drug concentration CONC has been programmed Programming mg kg hr mg kg min mcg kg hr and mcg kg min Modes In these modes the pump runs at a programmed constant rate The infusion is programmed in terms of patient body weight drug concentration and dose Note If a protocol has been selected the infusion mode may have been selected auto matically 1 Atthe SELECT MODE AY prompt use A or V to display the available infusion mode selections Press CONFIRM to select the desired infusion mode 2 Use A or V and CONFIRM as required to select the syringe manufacturer and size 3 Enter the patient body weight BODY WT in kg
24. manufacturer Use A and V as needed to select the correct syringe manufacturer and press CONFIRM to complete the entry The pump displays VERIFY SIZE where size is the new syringe size recognized by the pump Press CONFIRM after verifying that the pump is displaying the correct syringe size Note Changing syringe size may invalidate the contents of other fields e g VOL LIMIT In such cases the pump automatically clears the necessary field s The infusion cannot be continued until all cleared fields have been reprogrammed Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 58 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Additional Functions and Operations e Ifthe syringe is improperly mounted the pump displays one of the following alert or alarm messages CHECK BARREL CHECK FLANGE or CHECK PLUNGER Examine the syringe and correct the indicated problem If a combination of such conditions is sensed the pump displays a CHECK SYRINGE alert or alarm message instead Lock and Auto Lock Functions The Lock function serves two purposes First it reduces risk of accidental key activations by disabling all keys except LOCK Second the Lock function makes it convenient to program the pump in advance of delivery by disabling the audio portion of the PUMP IS IDLE alert or alarm The Lock function is activate
25. pump near the bottom Turn the pump on by sliding the switch up to the ON position Note If the syringe is improperly mounted the pump displays one of the following alert messages CHECK BARREL CHECK FLANGE or CHECK PLUNGER Examine the syringe and correct the indicated problem If a combination of conditions is sensed the pump displays a CHECK SYRINGE alert or alarm message instead The pump is turned off by sliding the switch down to the OFF position Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 30 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions Check the Lamp Test As soon as the pump is turned on an automatic self test begins This includes the Lamp Test which tests the status display and the status panel lights Verify that all the lights illuminate and that all parts of the status display are legible Carefully check the Lamp Test daily or once per shift See Display Battery and Syringe Sensor Check on page 75 To examine the status display more closely during the Lamp Test press and hold STOP while the status display characters are all visible The Lamp Test will complete when STOP is released If CONFIRM is pressed during the Lamp Test the battery voltage will be displayed in the text field immediately following completion of the Lamp Test The Lamp Test ends with
26. yield the programmed final volume The final concentration is displayed when a bolus or infusion is initiated Note The rate body weight concentration and dose fields will not be editable after the confirm key is pressed Power the pump off and then back on to make these fields editable again At the SELECT MODE A Y prompt use A or V to display the available infusion mode selections Press CONFIRM to select the CUSTOM DILUTION mode Use A or V and CONFIRM as required to select the syringe manufacturer and size Enter the target rate FATE in mL hr Press CONFIRM to complete the data entry Enter the patient body weight BODY WT in kg Press CONFIRM to complete the data entry Enter the initial drug concentration CONC in mg mL Press CONFIRM to complete the data entry Enter the target dose DOSE in mcg kg min Press CONFIRM to complete the data entry Enter the final volume FINAL VOL in mL Press CONFIRM to complete the data entry In the DRUG VOL field the pump displays the volume of drug that must be mixed with IV base fluid to yield the programmed final volume The text field displays DRUG VOL Press CONFIRM to acknowledge the drug volume Mix the indicated drug volume DRUG VOL with sufficient IV base fluid to produce the final volume that was programmed FINAL VOL Note The solution may be mixed directly in the syringe or may be mixed in an IV bag 10 11 12 13 and then drawn up into the syrin
27. 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 21 General Information Default Bolus Size If a protocol specifies a default bolus size the default value appears automatically when the Bolus Size field is first opened for editing This value may be changed or it may be accepted by pressing CONFIRM Bolus Maximum Rate The bolus delivery rate is normally limited to the smaller of the limit specified by the RATE RANGE configuration option or the maximum rate for the programmed syringe If a protocol specifies a bolus maximum rate the pump will further limit the bolus delivery rate so it does not exceed the specified bolus maximum rate which is defined in terms of dosage such as mcg kg min Bypassing the Protocol Library Feature Note The NONE selection may not be available depending upon configuration Selecting NONE at the SELECT LIBRARY or SELECT PROTOCOL step bypasses the Protocol Library feature and allows infusion mode selection and programming to proceed in the normal way Serial Communication Feature The pump provides remote control and monitoring capabilities A standard 9 pin connector DB9 allows the connection of an RS 232 cable between the pump and a computer The cable allows an operator at a remote computer to control pump operations and to query the pump for data such as infusion totals program values and operational status The remote control feature is a configurable option See the Auto Syri
28. 54 technical specifications 15 temperature range 15 Terumo deliverable volumes 26 purge delivery 54 rate ranges 25 testing data 20 51 text conventions 1 time counting 43 46 data fields 20 timed infusion modes programming 13 total delivered display 59 total drug vol display 17 troubleshooting 76 U UNITS HR UNITS MIN MUNITS HR and MUNITS MIN Mode 35 USE DIGITS error 79 using protocols 32 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Index 4 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 V VECURONI protocol 68 VERIFY AGAIN error 80 version display 61 VIEW ALERTS details 65 group selection 62 VIEW DFAULTS details 64 group selection 62 VIEW LIBRARY details 63 group selection 62 VIEW MFRS details 63 group selection 62 VIEW MISC details 64 group selection 62 VIEW MODES details 63 group selection 62 voltage check 76 volume accuracy 15 limit 33 volume limit option 66 selection 17 VOLUME LIMIT alarm 82 volumes table 26 W warranty 85 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Index 5 This page is intentionally blank Printed from the Baxter Intranet TH
29. AWSELECT LIBRARY is displayed use the A and W keys as necessary to display the name of the desired protocol library and press CONFIRM to complete the selection Note If the NONE selection is available the Protocol Library feature may be bypassed by selecting NONE Continue with the appropriate mode programming section below Selecting a Protocol If WA SELECT PROTOCOL is displayed use the A and W keys as necessary to display the name of the desired protocol and press CONFIRM to complete the selection Note The protocol name is continuously displayed in the text field except when a mes sage or prompt must be displayed If the NONE selection is available the Protocol Library feature may be bypassed by selecting NONE Continue with the appropriate mode programming section below Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 32 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions Selecting an Infusion Mode If a default mode has been assigned to the selected protocol the pump sets the infusion mode automatically The name of the mode is displayed briefly in the text field and programming continues with syringe manufacturer selection If no default mode has been assigned to the selected protocol the pump displays a SELECT MODE Y A prompt Continue with the appropriate mode programming section
30. DULE mode also adds a delay to the start of the first dose allowing a time delay before the infusion regimen begins 1 At the SELECT MODE AY prompt use A or V to display the available infusion mode selections Press CONFIRM to select the desired infusion mode 2 Use A or V and CONFIRM as required to select the syringe manufacturer and size 3 Enter the dose volume INFUSE in mL Press CONFIRM to complete the data entry 4 Enter the dose duration OVER in hours and minutes Press CONFIRM to complete the data entry 5 Enter the interval EVERY in hours and minutes This is the time from the start of one dose to the start of the next dose Press CONFIRM to complete the data entry 6 Enter the delay NEXT DOSE IN then press CONFIRM This is the time interval from when START is pressed until the first dose becomes due Enter 0 00 to begin infusing the first dose immediately Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 45 Detailed Instructions Dose Initiation The NEXT DOSE IN field on the display shows the time remaining until the next dose is due to be delivered When this time counts down to 0 00 the pump automatically begins infusing the dose Counting Time Display The three RUN lights flash in a falling drop pattern while the pump is infusing W
31. E FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 74 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Display Battery and Syringe Sensor Check Keypad Check 1 Be sure that no syringe is mounted and that the barrel clamp is closed SYRINGE mir size 2 Press and hold the STOP key during the normal power up Lamp Test Compare Nr USE the display to the illustration Verify that all annunciators decimal points and digits are legible 3 Be sure that all lights on the Status Panel light up during the Lamp Test Units mg mL 7 hr min EVERY CONC Note If the charger is plugged in the ON CHARGE light will be on before during and after the lamp test NEXT Od Otc J TOTAL FINAL AG 4 VOL LIMITVOL Srs Release the STOP key TOTAL DRUG VOL 60 020 mL ENUM UU DL ER PRI DR ER EN ENON Note If CHECK BARREL CHECK FLANGE or CHECK PLUNGER is displayed one of the syringe mounting sensors may be malfunc tioning Make sure the plunger rod flange and barrel capture mechanisms are free Turn the pump off and back on again If the error message is repeated remove the pump from service After the pump completes the power up Lamp Test press every key except A V and CONFIRM in any order one key at a time Each keypress should result in a short beep Press any two or more
32. E USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Index 6 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Printed from the Baxl THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE NGE NUMBER BEFORE USING THIS DOCUMENT 07119 B3 3530 Baxter Healthcare Corporation Medication Delivery Division Deerfield IL 60015 USA 07 19 B3 430 Revision B Copyright 1999 2002 Baxter Healthcare Corporation All Rights Reserved May 2002 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT
33. ERY Hj 00503 02 ipli CONC aUas s Do nr min e The central portion of each field displays variable NEXT f 52 d Ff mgu hr numeric data either decimal numbers or time This data DOSE t yet HD SAND DEM S rmi generally represents either infusion program information TOTAL FINALE Y Of morams or an active display such as a running total of the VOL LIMITVOL 005004009 amount of drug infused TOT UG IY ml l Eee b ESL b e The bottom field of the status display is a two line text I DNDN ERCURCUN EA VOL display used to prompt the programming sequence or to display a message about the infusion KEKEN N VN VN N VNSN After the infusion mode has been selected the pump VN Note automatically displays the necessary fields to be programmed When the pump needs information it provides a text prompt and flashes the current field The pump s backlight is on whenever the charger is connected and the pump is switched on The pump can also be configured to turn the backlight on for a spec ified time 0 to 60 minutes after each keypress when the charger is not con nected See the Auto Syringe AS50 Infusion Pump Technical Manual for details Field 1 displays the syringe manufacturer SYRINGE d 0 n i k rid mfr size i t HG code and syringe size B B D M Monoject T Terumo INFUSE RATE THE USER IS RESPONS Field 2 displays the volume to be infused mL or the
34. Final Volume and fill the syringe Follow manual purging and mounting procedures see Operation on page 9 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 12 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Simplified Instructions Programming the Timed Infusion Modes Programming for each infusion mode proceeds in the sequence shown in the following table in top to bottom order Timed Infusion Modes Steps SINGLE DOSE MANUAL SCHEDULE AUTO SCHEDULE 1 Select mode syringe Select mode syringe Select mode syringe manufacturer syringe size manufacturer syringe size manufacturer syringe size 2 INFUSE field Enter dose in mL INFUSE field Enter dose in mL INFUSE field Enter dose in mL 3 OVER field Enter dose duration OVER field Enter dose duration OVER field Enter dose duration in hours and minutes hh mm in hours and minutes hh mm in hours and minutes hh mm 4 EVERY field Enter dose Interval EVERY field Enter dose Interval in hours and minutes hh mm in hours and minutes hh mm 5 NEXT DOSE IN field Enter delay NEXT DOSE IN field Enter to start of first dose in hours and delay to start of first dose in hours minutes hh mm and minutes hh mm To start the first dose without delay To start the first dose without program NEXT DOSE IN field to
35. GRe Ee Rw Owe oe UR E Ra 69 Charging the Battery as aem dem VeESEE Ex SERE FUESUA ESSE E ERR 69 IW PO Impia esu aao PR EE Ex Re FR Pewee TEUER Eat ME 70 IV POIS OO T UmmMEmM 71 Gleanings grie a psa cu tuer exe Re big BAe ATIS Coed ke Ro eos a dunt 71 Routine Cleaning and Disinfection Techniques 71 Conditions Requiring Service Cleaning 000000005 73 Periodic Maintenance liliis es 74 Daily Check TIT CEP 74 Battery Replacements vss esce ke kx EX Ya xm wee EUR Rx Rn RO 74 Display Battery and Syringe Sensor Check ilslsuusss 75 Keypad Check MM PH TC PTT 75 Battery Voltage Check ud wen 6d o o dca Reese eee oe bee 76 In Case of Difficulty icu cee ie take ached ch ROCA C e RR wile ae ne o we 76 Alerts and Alarms a uada X d KOC Eno doa Rec OR o CAR ici cw ia e o a e cle a 77 PICU Soest eee a bs See PEER oa c s on Eee ee eRe cee es hn eee ex 78 Dg 6 oi aea ia aai nie daaa a titted obo Lote hd Oe ee babe oe oe om eee be 81 Failsafe ATAITHSG s coco 2 scele iu RU ERR res diam i IEWAWIRLATENE ve tease ne as 83 Warranty and Service Information 20 0c eee eee eee 85 Wala tiie oe Ga a REN Rare iden ne thy ee eeueteawiies cee Ree e DR SuSE 85 Service Information usus e ee ends re RR Re Eee eb EES EUR DR eee ek 85 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syr
36. HANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 1 About This Manual This page is intentionally blank Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 2 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Device Description The Auto Syringe AS50 Infusion Pump hereinafter referred to as the pump is designed to meet the fluid and drug delivery requirements of today s changing clinical environment It provides accurate continuous or intermittent infusion of intravenous solutions drug solutions whole blood and packed red blood cells The pump is indicated for infusion via intravenous IV intra arterial IA epidural or subcutaneous routes of administration It can be piggybacked into an ongoing infusion line to deliver secondary solutions automatically precisely and economically Infusion rates are programmable from 0 01 to 438 mL hr The pump accepts standard disposable syringes from 1 mL to 60 mL in size A numeric keypad simplifies programming and makes the pump easy to use During programming the status display prompts the user to enter data about the syringe and the infusion While the pump is running the status display shows information about the infusion Safety and effectiveness are reinforced by pre programmable bolus operation titration of
37. HE SYSTEM OF ALL AIR BEFORE ADMINISTERING ANY MEDICATION Failure to follow this normal infusion procedure could precipitate serious consequences e Remember that the volume of fluid contained in the connecting tubing is a residual amount and cannot be infused Allow for this extra volume of fluid when initially filling the syringe e In MANUAL SCHEDULE mode START must be pressed to deliver each dose and continue the infusion regimen Pressing any other key silences the audio portion of the DOSE DUE alarm and leaves the pump in Standby state without initiating a dose delivery e Although extreme care has been taken in assembly component selection and quality control during manufacture of the Auto Syringe AS50 Infusion Pump routine checks and maintenance procedures must be performed so that patients receiving infusions can be assured of trouble free operation e Caution must be exercised in the selection of drugs intended to be delivered via any infusion pump If the drug contained in the syringe will be exposed to extreme environmental conditions for prolonged time periods IT IS IMPORTANT TO SELECT DRUGS THAT WILL NOT CHANGE PHARMACOLOGICALLY UPON SUCH EXPOSURE e As with all automatic infusion devices whenever a TOXIC OR DANGEROUS LEVEL of drug is stored in the reservoir CONSTANT MONITORING of the infusion is required e CAUTION must be employed to assure that the Auto Syringe AS50 Infusion Pump is in good working order before putti
38. IP Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 28 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions Open the BARREL CLAMP 3 by moving either of the BARREL CLAMP RELEASE LEVERS 4 Allow the barrel clamp to slide all the way open Place the syringe in the CRADLE 5 Be sure the syringe is centered in the V of the cradle and that the flange of the syringe fits into the FLANGE SLOT 6 Push the BARREL CLAMP 3 in firmly so that it securely grips the syringe barrel The barrel clamp is shaped to fit the heel of the hand making it easy to firmly clamp the syringe Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 29 Detailed Instructions 6 Grasp the FINGER GRIP 1 on the DRIVER 2 and pull it all the way out Slide the DRIVER down until it contacts the syringe plunger then release 7 Push the PLUNGER CLAMP in firmly to capture the syringe plunger Lo ON OFF SWITCH Turn the Pump On and Off The ON OFF switch is on the left side of the
39. NOT ALLOWED when BOLUS is pressed Note If a protocol has been selected a default bolus value may appear automatically Use A and V or the digit keys to modify this value as necessary and press CON FIRM to complete the data entry 1 Press BOLUS The status display changes to the Bolus display e If there is no programmed bolus size the pump displays PRESS EDIT TO SET BOLUS SIZE Proceed to step 2 e If abolus size has been programmed the pump displays BOLUS READY Press START within 10 seconds to begin bolus delivery or proceed to step 2 to change the programmed bolus size or press CONFIRM to save the bolus data and return to the normal display Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 56 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Additional Functions and Operations 2 Press EDIT then use the A V or digit keys as necessary to program the bolus size When a bolus is fully programmed the pump displays BOLUS READY 3 Press START to begin bolus delivery immediately or press CONFIRM to save the bolus data and return to the normal display Bolus Programming Notes For mL min mode the bolus rate is displayed in mL min For all other modes it is displayed in mL hr Pressing BOLUS during the BOLUS READY or PRESS EDIT TO SET BOLUS SIZE display cancels bolus programming and restores the normal display
40. NSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 85 Warranty and Service Information This page is intentionally blank Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 86 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Symbols hh mm in text 1 AY IN USE error 80 xxMIN protocol alert 80 xxMIN EMPTY alert 80 xxMIN VOL LIM alert 80 A action keys 18 alarms 66 81 fail safe 83 alerts 67 78 group 65 light 19 ALFENTAN protocol 68 ANALGESC library 68 ANES HYP library 68 arrow keys 21 description 18 ATRACURI protocol 68 audio range 65 Auto Lock function 59 AUTO SCHEDULE mode 45 B backlight 60 65 barrel clamp illustration 9 release lever illustration 9 battery charging 69 cover illustration 9 light 19 operating time 15 replacement 74 voltage check 76 B D Plastic deliverable volumes 26 purge delivery 54 rate ranges 25 beeps 66 Index bolus complete alert 66 CUSTOM DILUTION mode 40 default size 22 delivery 57 description 55 editing 58 prevention 21 programming 56 rate 56 repeating delivery 58 review 57 size limits 55 units 55 BOLUS COMPLETE alert 78 details 66 bolus modes 34 35 C cancelling an edit 50 CARDI
41. No MUSRELAX Atracurium ATRACURI mcg kg min 0 5 No Yes Mivacurium MIVACURI mcg kg min 2 No Rocuronium ROCURONI mg kg min 10 No Succinylcholine SUCCINYL mg min 2 No Vecuronium VECURONI mcg kg min 0 2 No For NONE Library Selection Option see Using Protocols on page 32 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 68 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Pump Maintenance Charging the Battery The battery charger cord plugs into the bottom of the pump Note The plug and receptacle are shaped to fit only one way DO NOT force the plug into place For the best battery operating time the battery should be charged for at least 16 hours before using the pump Disconnect the charger if the pump is not to be used within the next 72 hours Prolonged overcharge and high temperature shorten the battery operating time and service life The battery voltage may be displayed by pressing CONFIRM briefly during the Lamp Test or by pressing CONFIRM after the pump has been programmed Note Battery voltage display is only an approximate indication of the battery s remaining charge If the battery voltage is less than 6 1 volts or is dropping rapidly assume that the charge remaining in the battery is minimal Recharge the battery Do not charge or store the pump in direct sunlight or unde
42. O library 68 catalog code 15 changing the battery 74 changing the syringe 58 CHARGE DEPLETED fail safe alarm 83 CHARGE IS LOW alert 78 charger port illustration 9 charging the battery 69 CHECK BARREL alarm 81 alert 78 CHECK FLANGE alarm 81 alert 78 CHECK PLUNGER alarm 81 alert 78 CHECK SYRINGE alarm 81 alert 78 cleaning and disinfection 71 conditional message displays 77 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Index 1 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT configuration custom 67 factory standard 67 configuration review feature 61 table 62 terminating 67 confirm key 18 continuous infusion modes programming 12 counting time 43 46 cradle illustration 9 CUSTOM DILUTION mode 39 D dashes in display 21 data entry 48 testing 20 51 DATA MISSING error 78 date and time display 61 DB9 port 65 defaults 67 bolus size 22 concentration 21 dose or rate 21 group 64 infusion mode 21 deliverable volume 15 description general 3 digit keys 18 disinfection and cleaning 71 DOBUTAMI protocol 68 DOPAMINE protocol 68 DOSE COMPLETE alarm 81 details 66 DOSE DUE alarm 81 dose initiation 46 drug concentration selection 17 E EDIT key 20 editing cancellation 50 in run state 50 in standby state 48 EDITING alarm 82 EMPTY
43. OND THE DESCRIPTION OF THE PRODUCT AND THOSE EXPRESSLY SET FORTH IN ITS LABELING In no event shall Baxter be responsible for incidental consequential or exemplary damages Modification alteration recalibration or abuse and service by other than a Baxter authorized representative may void the warranty Service Information While under Baxter Warranty Service Agreement optional or lease agreement the instrument must not be opened by unauthorized personnel For service and repair information for this product call the Baxter Healthcare Corporation Andover Service Center at 1 800 343 0366 Customer Service or 1 800 634 4602 Technical Service Shipping costs for all units returned to Baxter shall be paid for by the customer The unit must be packed in its original container or in a container that will provide adequate protection during shipment To ensure prompt return the Baxter Healthcare Corporation Andover Service Center must be notified before shipping any unit for repair When calling please be prepared to provide the product code number and serial number of the unit A service authorization number will be issued and should accompany all communications A brief written description of the problem should be attached to the instrument when it is returned for service Baxter will not be responsible for unauthorized returns or for units damaged in shipment due to improper packing Printed from the Baxter Intranet THE USER IS RESPO
44. Operator s Manual Auto Syringe AS50 Model AS50 Infusion Pump axCer Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Warning There are risks associated with using anything other than the recommended IV extension sets with this device Sets designated for use with this device are identified in the section Simplified Instructions Baxter s warranty on this device will be null and void and Baxter will assume no responsibility for incidents which may occur if the product is not used in accordance with product labeling See the section Precautions for a complete list of warnings and cautions Computer Software Copyrights Copyright 1999 Baxter Healthcare Corporation All rights reserved For use only by Baxter Healthcare Corporation The software contains proprietary information belonging to Baxter Healthcare Corporation The software must not be reproduced or disclosed to others without prior written approval Any unauthorized use of this information may subject the user to substantial liability Documentation Copyrights Duplication or distribution of this manual and any information contained within is strictly prohibited without the express written permission of Baxter This manual and any information contained within may not be reproduced distributed or transmitted in any form or by any means for any purpose without the expres
45. Operator s Manual Page 73 Pump Maintenance Periodic Maintenance Daily Check This Daily Check should be performed prior to programming an infusion If the pump fails any part of the Daily Check take it out of service 1 Before using the pump check for slippage of the plunger driver by applying gentle back pressure 2 Check the plunger driver for free travel through its full range 3 Check the barrel clamping mechanism for proper locking and check that it opens and closes freely when either barrel clamp release is pressed 4 Check that the plunger assembly opens freely to its full travel and returns to a fully closed position without assistance If connecting the charger make sure that the charger plug and socket are clean and fully engaged and that the ON CHARGE light is lit when the charger is plugged in Battery Replacement In general the service life of rechargeable batteries is based on many factors including construction size usage frequency of charging and discharging and depth of discharge prior to recharge To minimize the chances of experiencing a problem with rechargeable batteries it is advisable to replace them before their service life is expended Baxter advises that pump battery replacement be made part of a regularly scheduled maintenance program Baxter recommends that the AS50 Pump s rechargeable battery be replaced every 16 months Printed from the Baxter Intranet THE USER IS RESPONSIBL
46. URRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 33 Detailed Instructions Bolus in mL hr and mL min Modes Note If a protocol has been selected bolus delivery may be disallowed or a default bolus size may appear automatically If a default bolus size is displayed use A and V or the digit keys to modify the value as necessary If the infusion program is to include a bolus delivery 1 Press BOLUS to obtain the bolus programming display 2 Press EDIT then use the digit keys to set the bolus size in mL 3 Press CONFIRM to store the bolus size and return to the normal display The bolus infusion rate is automatically set See Bolus Function on page 55 for more information on bolus delivery Note For mL min mode the bolus rate is displayed in mL min For all other modes it is displayed in mL hr mL hr and mL min Programming Notes 1 See Syringe Data Tables on page 25 for minimum and maximum infusion rates for each syringe 2 Pressing CONFIRM during delivery briefly displays additional program data 3 Abolus can only be programmed edited or delivered after the syringe size has been programmed Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 34 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions
47. a mee RE Racer DRM ERE EE EP he AE 25 Infusion Rate Ranges cese eee eee de oes else EO Re OR C RORIS 25 Deliverable Volumes 00 0 e eee ees 26 Detailed Instructions usus eden tee ee ee RR ee ee ewe n 27 Preliminary OperallollS lt j civscecancdad Rr sS ER ERR EXE wade cade 28 Manual Purge 2e ree ho been tubos c doe moie em ane p d 28 Mount the Syringe i esee Re bee bees eee eee 28 Turn the Pump On and Ones 42024 nce oi En e e EU b RR on 30 Check the Lamp Test 39 9o oec hob RUR oe 4 EIER ORG RO Ron BP a do 31 Programming oos as a tenensas dice na aun nels modnm d wapa ud dus ee bale esq 32 Using Protocols issus Ed ed eed Fr hor EHE Mone Rn ween 32 Programming mL hr and mL min Mode 22000 000 ee 33 Programming Units hr Units min mUnits hr and mUnits min Modes 35 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page i Programming mg hr mg min mcg hr and mcg min Modes 36 Programming mg kg hr mg kg min mcg kg hr and mcg kg min Modes 37 Programming CUSTOM DILUTION Mode 00000 39 Programming SINGLE DOSE Mode ilsslllssssssss 41 Programming MANUAL SCHEDULE Mode 42 Programming AUTO SCHEDULE Mode 205 45 General Programming Information
48. and flashing ALERT light There is an occlusion line constriction or other condition that causes excess plunger force The alarm automatically stops the pump Pressing any key silences the audio portion of the alarm Check for empty syringe kinked tubing clogged catheter etc Check for foreign material preventing movement of the pump mechanism RELIEVE RESIDUAL SYRINGE PRESSURE BY RELEASING THE PLUNGER DRIVER If the plunger driver is not released an unintentional bolus may occur when the blockage is cleared The message clears when the infusion is successfully restarted PUMP IS IDLE continuous beeps and flashing ALERT light The pump has been in Standby state for at least 2 minutes Also occurs if there is no keypress within 15 seconds after the infusion is stopped Pressing any key silences the audio portion of the alarm The Lock function suppresses the audio portion of this alarm Note If the keypad is locked there will be no beeps but the PUMP IS IDLE message still appears VOLUME LIMIT continuous beeps and flashing ALERT light The programmed volume limit has been reached Pressing any key silences the audio portion of the alarm Restarting the pump by pressing START or initiating a bolus resets the Volume Limit field Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 82 Au
49. arging the battery this alert repeats every 15 minutes Connect the charger When the battery charge reaches the normal operating range the alert self cancels If the battery voltage is very low the alert may repeat once or twice after the charger is connected CHECK BARREL single beep The barrel clamp is not fully closed on the syringe barrel or the syringe is not properly seated in the cradle Make sure the syringe is centered in the barrel clamp cradle and that the syringe flange is in the barrel clamp flange slot To ensure proper seating use the heel of the hand to press the barrel clamp firmly against the syringe Motor movement is not allowed until the syringe is properly mounted CHECK FLANGE single beep The syringe flange is not seated in the flange slot Remove the syringe and remount it Make sure the syringe is centered in the barrel clamp cradle and that the syringe flange is in the barrel clamp flange slot To ensure proper seating use the heel of the hand to press the barrel clamp firmly against the syringe Motor movement is not allowed until the syringe is properly mounted CHECK PLUNGER single beep The plunger capture mechanism has not captured the syringe plunger Grasp the finger grip on the plunger driver and pull it all the way out Slide the driver down until it contacts the syringe plunger and push the driver in firmly Motor movement is not allowed until the s
50. been delivered 2 mL from the original infusion and 5 mL from the edited infusion 3 The pump issues a DOSE COMPLETE alarm at the end of the infusion if the Dose Complete Alarm option is enabled 4 Bolus operation is not available in this delivery mode 5 Pressing CONFIRM during delivery briefly displays additional programming data Programming MANUAL SCHEDULE Mode MANUAL SCHEDULE mode is a timed infusion mode for use when a programmed dose is to be repeated at regular intervals The infusion is programmed in terms of dose volume and dose duration and the time from the start of one dose to the start of the next Each dose delivery must be manually initiated MANUAL SCHEDULE mode also allows a delay to the start of the first dose allowing a time delay before the infusion regimen begins 1 Atthe SELECT MODE AY prompt use A or V to display the available infusion mode selections Press CONFIRM to select the desired infusion mode 2 Use A or V and CONFIRM as required to select the syringe manufacturer and size 3 Enter the dose volume INFUSE in mL Press CONFIRM to complete the data entry Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 42 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions 4 Enter the dose duration OVER in hours and minutes Press CONFIRM to complete the data ent
51. been programmed and the pump is in the Run state the Auto Lock feature automatically turns on the Lock function two minutes after the last keypress Backlight VIEW BACKLITE The status display backlight is lit whenever the charger is connected and the pump is powered on The VIEW BACKLITE option turns the backlight on after a keypress when the charger is not connected The backlight turns off automatically after a preset time period elapses 0 to 60 minutes Press CONFIRM to view the current setting Enable DB9 Port When this option is set to Y yes the standard 9 pin connector DB9 located on the rear of the pump is enabled as the serial RS 232 C communication link to allow remote control operation When this option is set to N no the RS 232 C serial communication link is disabled Alerts Group VIEW ALERTS This option group displays the alert and alarm options that are enabled The Alerts group options are IDLE ALARM NEAR END ALERT BOLUS COMPLETE ALERT DOSE COMPLETE ALARM and VOLUME LIMIT ALARM Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 65 Configuration Identifier Idle Alarm This option enables the pump to issue a continuous audible alarm when a PUMP IS IDLE condition occurs If the option is disabled the pump beeps 15 times at two minute int
52. below For additional information about the Protocol Library see Protocol Library Feature on page 21 Programming mL hr and mL min Mode In these modes the pump runs at a programmed constant rate A volume limit can also be programmed in these modes Note If a protocol has been selected the infusion mode may appear automatically 1 Atthe SELECT MODE AY prompt use A or V to display the available infusion mode selections Press CONFIRM to select the desired infusion mode 2 Use A or V and CONFIRM as required to select the syringe manufacturer and size Note If a protocol has been selected a default infusion rate may appear automatically Use A and V or the digit keys to modify this value as necessary 3 Enter the infusion rate in mL hr or mL min depending on the infusion mode selected 4 Press CONFIRM to complete the entry Volume Limit The Volume Limit feature is a configurable option available only in the mL hr and mL min modes The pump stops when the programmed volume limit has been delivered Enter the desired volume limit When the delivery begins the VOL LIMIT field displays the amount of drug remaining until the programmed volume limit is reached The pump stops when the VOL LIMIT field reaches zero The Volume Limit feature can be temporarily disabled without reconfiguring the pump by programming zero 0 in the VOL LIMIT field Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE C
53. clamp 6 firmly against the syringe barrel e Pull out the plunger driver 2 slide it down to capture the top of the syringe plunger and push in firmly to capture syringe plunger 3 Slide the ON OFF switch 14 to the ON position 4 Program the pump see Programming on page 11 5 Purge the syringe and tubing again to remove slack from the plunger driver e Press PURGE START to begin purging Repeat if necessary e Press STOP if necessary to stop purging 6 Connect the IV extension set to the patient 7 Press START to begin the infusion Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 10 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Simplified Instructions Programming Note If the Protocol Library feature is enabled a AW SELECT LIBRARY prompt is dis played first Use A V and CONFIRM as required to select a protocol library Next select a protocol from the library If the selected protocol specifies a default infusion mode the pump skips step 1 1 Atthe SELECT MODE AY prompt use A or V as necessary to display the available infusion mode selections Press CONFIRM to select an infusion mode 2 Select the syringe manufacturer and size using A or W as necessary and complete the data entry by pressing CONFIRM For use of the Size Override feature see Size Override on page 64 3 E
54. d Press CLR if necessary and reprogram the syringe manufacturer and size SIZE UNKNOWN single beep The pump cannot identify the syringe size for the selected manufacturer Check to be sure the correct manufacturer has been programmed Ensure that the barrel clamp is fully closed Press CLR if necessary and reprogram the syringe manufacturer and size USE DIGITS single beep Attempt to use A or V to initialize a field containing dashes Use digit keys instead Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 79 Alerts and Alarms Message Cause Correction VERIFY AGAIN single beep The detected syringe size is different from the programmed size Press A or V to change size or CONFIRM to complete size override AY IN USE single beep An attempt was made to use digit keys to edit a number that was modified with an arrow key Continue programming with the arrow keys or clear the field and reprogram it with digit keys xx MIN EMPTY or xx MIN VOLUME LIMIT or xx MIN protocol configurable number of beeps ALERT light flashes until syringe is empty or volume limit is reached At the present rate of infusion approximately xx minutes remain until the syringe will be empty or t
55. d by pressing LOCK Pressing LOCK again restores normal operation The LOCK light remains on while the Lock function is active Note The pump will not allow the Lock function to be active during a LINE OCCLUDED alarm condition The Auto Lock feature can be enabled through pump configuration During an infusion the Auto Lock feature automatically sets the Lock function two minutes after the last key is pressed This feature is available only while the pump is in Run state If the pump enters Standby State because of an alarm condition the keypad is automatically unlocked The Total Delivered Display The Total Delivered display indicates the accumulated total volume in mL that has been delivered Some infusion modes also show the total delivery in other units such as mcg mg or grams The Total Delivered display cannot be programmed but can be cleared reset to zero To clear the total delivered information press A or W to move to the TOTAL mL field The annunciators will flash then press EDIT and CLR to clear the display After resetting the Total Delivered display to zero the previous value cannot be restored Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 59 Additional Functions and Operations Note Purge volumes are not included in the total because purged f
56. d to single beep no libraries exist VIEW MODES prompt NO LIBRARY IS ENABLED VIEW LIBRARY was selected and Press CONFIRM to proceed to single beep no libraries are enabled VIEW MODES prompt NOT ALLOWED The BOLUS key was pressed when Use the NONE protocol library single beep the bolus feature is not allowed by the selected protocol selection or the NONE protocol selection if available if the bolus feature is required OUT OF RANGE single beep No bolus is possible for the current combination of syringe body weight and drug concentration Use a different syringe or drug concentration if the bolus feature is required PUMP IS IDLE 15 beeps and ALERT light flashes The pump has been in Standby state for at least 2 minutes Also occurs if there is no keypress within 15 seconds after the infusion is stopped The alert is self cancelling The Lock function suppresses the audio portion of this alert Note If the keypad is locked there will be no beeps but the PUMP IS IDLE message will still appear PUMP LIMIT single beep Attempting to program a value outside the pump s acceptable range The pump displays the nearest acceptable value Press CONFIRM to accept displayed value or enter a different value and press CONFIRM SIZE MISMATCH single beep The detected syringe size is different from the programmed size Check to be sure the correct manufacturer has been programme
57. ded the configuration should be changed only by authorized personnel Factory Standard Configuration The factory standard configuration is Protocol Library See the chart on the following page Modes ML HR MCG KG MIN SINGLE DOSE MCG KG HR MCG MIN Manufacturers and Sizes B D 1 3 5 10 20 30 60 mL Plastic Monoject 1 3 6 12 20 35 60 mL Terumo 1 3 5 10 20 30 60 mL Defaults All enabled Misc PSI RANGE M Medium AUDIO RANGE H High RATE RANGE H High BACKLITE 2 MINUTES LIBRARY N Alerts IDLE ALARM enabled MINALERT 10 5 10 Minutes 5 Beeps DOSE COMPLETE enabled VOLUME LIMIT enabled Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 67 Configuration Protocol Libraries Default Protocol Default Concentration Bolus NONE Protocol Library Name Drug Name Name Mode mg mL Allowed Selection Option ANALGESC Alfentanil ALFENTAN mcg kg min 0 05 No Yes Remifentanil REMIFENT mcg kg min 0 05 No Sufentanil SUFENTAN mcg kg hr 0 05 No ANES HYP Propofol PROPOFOL mcg kg min 10 No Yes CARDIO Dobutamine DOBUTAMI mcg kg min 5 No Yes Dopamine DOPAMINE mcg kg min 3 2 No Isoproterenol ISOPROTE mcg min 0 004 No Nitroglycerine NITROGLY mcg min 0 4 No Nitroprusside NITROPRU mcg kg min 0 2 No Norepinephrine NOREPINE mcg min 0 004
58. e selection if the syringe size selected appears different from the detected syringe size the pump displays a VERIFY AGAIN prompt and the operator must press CONFIRM again to complete the selection Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 64 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Configuration Note To restart the syringe selection process press CLR before pressing CONFIRM to complete syringe selection Occlusion Sensitivity PSI RANGE This option sets the occlusion detection system operating range Three choices are available H Highest back pressure M Medium setting L Lowest back pressure For more details see the Auto Syringe AS50 Infusion Pump Technical Manual Audio Range The audio volume level can be configured for H High or L Low The recommended setting is H The quieter L setting should only be used in noise sensitive environments where the infusion is constantly monitored Rate Range RATE RANGE can be configured for H High up to 438 mL hr M Medium 120 mL hr or L Low 15 mL hr The maximum delivery rate will be limited to the lesser of the Rate Range option setting or the syringe maximum see the Syringe Data Tables on page 25 The minimum delivery rate is as shown in the table regardless of the Rate Range setting Auto Lock If an infusion has
59. e Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 55 Additional Functions and Operations Bolus Rate The bolus infusion rate is the smallest of e The maximum infusion rate for the syringe see Syringe Data Tables on page 25 e The maximum rate established by the RATE RANGE configuration option e The bolus maximum rate specified by the selected protocol if applicable Example 1 If a pump is configured for Rate Range Medium the overall maximum infusion rate is 120 mL hr However the maximum infusion rate for a B D 10 mL syringe is 107 mL hr Therefore if a B D 10 mL syringe is used the bolus rate will be the lesser of the two limits or 107 mL hr Example 2 Assume that the same pump and syringe from Example 1 are used A protocol is selected that specifies a bolus maximum rate of 120 mcg kg hr If a patient body weight of 50 kg is programmed and the concentration is 0 1 mg mL the bolus maximum rate of 100 mcg kg hr will translate to a rate of 60 mL hr and the bolus rate will be limited to 60 mL hr Bolus Programming A bolus may be programmed during an infusion without interrupting the normal delivery Note If a protocol is selected the bolus function may not be allowed If the protocol dis allows the bolus function the pump beeps and displays the message
60. e cleaning or disinfecting agents are Note AN A A Cleaner Manufacturer Soapy water Various Isopropyl alcohol Various 10 solution of chlorine bleach and water Commercially available ASCEND germicidal detergent Huntington Professional Products Cidex Formula 7 sterilizing Johnson amp Johnson and disinfecting solution LpHSE Septisol germicidal detergents Steris Corporation TOR Hi Tor Plus germicidal detergents Huntington Professional Products Follow the manufacturer s dilution instructions for concentrated cleaning and disin fecting agents Recommendation of the above cleaning or disinfecting agents is based on their compatibility with the materials of which the pump is constructed No representa tion is intended as to the effectiveness of any cleaning agent Surfaces to be disinfected must be free of gross visible foreign matter Cleaning the device before disinfection is recommended Some surfaces are not accessible with the above method If spillage has occurred onto inaccessible surfaces or into the mechanism the device should be Service Cleaned as soon as possible Service Cleaning methods are described in the Auto Syringe AS50 Infusion Pump Service Manual Attempts to clean or disinfect internal parts autoclaving or sterilization by ethylene oxide gas will damage the pump and void the warranty Do not use the following chemicals on the device as they wil
61. e slot Pressing any key silences the audio portion of the alarm Remove the syringe and remount it Make sure the syringe is centered in the barrel clamp cradle and that the syringe flange is in the barrel clamp flange slot To ensure proper seating use the heel of the hand to press the barrel clamp firmly against the syringe Motor movement is not allowed until the syringe is properly mounted CHECK PLUNGER continuous beeps and flashing ALERT light During motor movement the pump has detected that the plunger capture mechanism has not captured the syringe plunger Pressing any key silences the audio portion of the alarm Grasp the finger grip on the plunger driver and pull it all the way out Slide the driver down until it contacts the syringe plunger Push in firmly Motor movement is not allowed until the syringe is properly mounted CHECK SYRINGE continuous beeps and flashing ALERT light At least two of the three syringe mounting points flange barrel plunger are not correctly positioned Pressing any key silences the audio portion of the alarm Check flange barrel and plunger and ensure that they are mounted correctly Motor movement is not allowed until the syringe is properly mounted DOSE COMPLETE continuous beeps and flashing ALERT light Single Dose Infusion Mode only The programmed dose has been delivered Pressing any key silences the alarm DOSE DUE continuous beep
62. eeeeellleellee 59 Expanded Data Display 2 000 cece eee 60 Backlight Falle 22 cacecasenasaaded waa edlo ERES EI ERES de denkewe 60 elicits i ee re rr rr E 61 Configuration FOVIBW sss sede st peRRE dane as cidesdbebese eed ERU 61 Date and Time Display na deu vay VERE REX E edd VA eee Bee ees 61 Software and Configuration Version Display snas assan aaaea 61 Reviewing Configuration Options llis 61 Configuration Review Table 0 0c eee eee ee eee 62 Configurable Options scere edi eed o bob Gea eee eee ae a SE ee wees 63 Protocol Library Group VIEW LIBRARY sessile 63 Modes Group VIEW MODES 000 cece eee ree 63 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page ii Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Syringes Group VIEW SYRINGES lll eee 63 Defaults Group VIEW DFAULTS llle ee eee 64 Miscellaneous Group VIEW MISC llle 64 Alerts Group WEWALERTS 00000 cece ee 65 SI NER EET TOT ETT ETATS OT LITT 66 Terminating Configuration Review 00 cece eee eee 67 Custom Configuration s dre 6 oteeedeud et be Pe eR SUS eu ed Ron do ao eh and 67 Factory Standard Configuration s a usu REX ERE REF dea eee EE 67 Protocol Libraries ID IX TUTT 68 Pump Maintenance s 5234 22 ak hor RR ed ERLARR R
63. elected bolus delivery may be disallowed or a default bolus size may appear automatically If a default bolus size is displayed use A and V or the digit keys to modify the value as necessary In these modes bolus size is entered in Units or mUnits The pump automatically calculates the equivalent bolus size in mL and displays both values Bolus rate is displayed in mL hr See Bolus Function on page 55 for more information on bolus delivery Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 35 Detailed Instructions Programming Notes 1 The drug concentration range is from 0 01 Units mL to 9999 Units mL The dose limits are determined by the drug concentration and syringe selection See Syringe Data Tables on page 25 for minimum and maximum infusion rates for each syringe 2 The CONC field cannot be reprogrammed once the infusion has been started 3 Pressing CONFIRM during delivery briefly displays additional program data 4 A bolus can only be programmed edited or delivered after the drug concentration CONC has been programmed Programming mg hr mg min mcg hr and mcg min Modes In these modes the pump runs at a programmed constant rate The infusion is programmed in terms of drug concentration and dose Note If a protocol has been selected the infusio
64. election The currently selected field on the pump s status display flashes Use A and V to select the next field Press EDIT to open the currently selected field for editing When a field is opened for editing the annunciators stop flashing and the value itself begins flashing Editing in Standby State All modes except CUSTOM DILUTION modes Almost all program data can be changed edited The exceptions are e Once a protocol library protocol or infusion mode has been selected the only way to select a different protocol library protocol or infusion mode is to turn the pump off then turn it back on and reprogram e The drug concentration CONC and patient body weight BODY WT fields cannot be changed edited once an infusion or bolus has been started To edit a programmed field 1 Use A and V to select the field to be changed 2 Press EDIT Use A V and the digit keys as necessary to enter the new value Press CONFIRM to complete the change Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 48 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions CUSTOM DILUTION mode To make a change to syringe manufacturer syringe size target rate body weight or initial concentration before a value is entered for final volume 1 2 6 Press CONFIRM while dashes are displayed in the FINAL VOL
65. ervals when a PUMP IS IDLE condition occurs Near End Alert NEAR END This option enables the pump to issue an alert during an infusion prior to an expected VOL LIMIT or EMPTY alarm The option specifies the number of minutes prior to the alarm that the expected alert will be issued and the number of beeps in the alert The form of a Near End alert display is xxMIN VOL LIM xxMIN EMPTY or xxMIN protocol The value xx is the configured number of minutes The first and second forms apply to impending VOLUME LIMIT or EMPTY conditions when no protocol has been selected The third form applies to either condition when a protocol has been selected Press CONFIRM to view the current settings Note When an infusion is started no NEAR END alert will occur if fewer than the config ured number of minutes remain before an EMPTY or VOL LIMIT alarm is due to occur For example if the NEAR END alert is configured for 10 minutes and 9 min utes remains before the volume limit is reached no NEAR END alert will occur when START is pressed Bolus Complete Alert BOLUS COMPLETE This option enables the pump to issue an alert when a bolus completes Dose Complete Alarm DOSE COMPLETE This option enables the pump to issue an alarm when a dose completes in SINGLE DOSE mode Volume Limit Alarm VOLUME LIMIT This option applies to mL hr and mL min modes only During initial programming the pump prompts the operator to enter a volume limit value in
66. g The pump automatically calculates the equivalent bolus size in mL and displays both values The bolus rate is displayed in mL hr See Bolus Function on page 55 for more information on bolus delivery Programming Notes 1 The patient body weight range is from 0 01 to 200 0 kilograms kg The drug concentration range is from 0 0001 mg mL to 100 0 mg mL The concentration range may be further limited for very large or small body weights The dose limits are determined by the drug concentration and syringe selection See Syringe Data Tables on page 25 for minimum and maximum infusion rates for each syringe 2 The CONC and BODY WT fields cannot be reprogrammed once the infusion has been started 3 Pressing CONFIRM during delivery briefly displays additional program data 4 A bolus can only be programmed edited or delivered after the drug concentration CONC has been programmed Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 38 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions Programming CUSTOM DILUTION Mode In this mode the pump runs at a programmed constant rate The infusion is programmed in terms of target rate patient body weight initial drug concentration target dose and final volume The pump calculates and displays the drug volume to be mixed with sufficient IV base fluid to
67. ge Attach a 2N Series or equivalent IV extension set to the syringe and manually purge the air from the filled syringe and tubing Mount the syringe Perform a purge operation to remove slack from the plunger driver After completing the purge procedures press START The new final concentration will be displayed in the concentration field Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 39 Detailed Instructions Bolus in CUSTOM DILUTION Mode In this mode bolus size is programmed in mcg kg The pump automatically calculates the equivalent bolus size in mL and displays both values Bolus rate is displayed in mL hr See Bolus Function on page 55 for more information on bolus delivery Programming Notes IMPORTANT If the FINAL VOL field is altered after the solution has been mixed the solution must be re mixed using the new DRUG VOL quantity For maximum accuracy in measuring the drug volume select the smallest syringe that will contain the entire DRUG VOL quantity When CONFIRM is pressed to confirm the DRUG VOL value the target rate field RATE is updated to show the actual infusion rate that will be used Usually the actual rate is very close to or the same as the programmed target rate The program data fields all remain displayed and available for
68. h a4 d d d REOR Re eae 3 Precautions xac cc nee n is nkenda kee eee C D CT UR 5 Special Precautions for Epidural Administration llli 7 Simplified Instructions usse RR RR REOR a ee ee 9 Operon FIC a apia ka E a A E a i E E E E a e e 9 Programming uae sidus boteucuseecatucksaagodatseguauaiaesteegs 11 Programming the Continuous Infusion Modes 0000005 12 Programming the Timed Infusion Modes 00000 ee eee eeeee 13 General Information uas duo ond aded ari acd ee eee EO 15 Technical Specifications sss RR RR RE a RE REZREREE 15 The Status Display ci e on le ini de e NM o KG ede bn a eb e 16 23 0 PED Gedeas ceubtneestatGeguceesehaneaatetedesede 18 The Status Panel suas qud rb WE Beo del RR dec Suae d eo edet 19 Operating States a s ehe e e a eee eb Duae e puteis sed bd 20 Standby States bonnet donc Rex a qe m RR dos Speer x dee eee 20 Run SUAS oo ots a die edie ola BA doe cdg at Bh Aah Sle tne Gm dere eh aon BB Biber 20 Data Display and Entry anaana acne van RR ERE REM EI ATE d xrxT RE 20 Protocol Library Peale abet xe he Pee edd eee uw C Pret ER MEE 21 Bypassing the Protocol Library Feature 000 ee eee 22 Serial Communication Feature llle 22 Infusion MOUSS iuo aaus Reduce le deci eed IUE dee DR atta eli EAR E 23 Continuous Infusion Modes lslllels sellers 23 Timed Infusion Modes 000 0 eee ee eee 24 Syringe Data Tables 22e ed
69. he volume limit will be reached If a protocol has been selected the protocol name will be displayed instead of END or VOLUME LIMIT Pressing any key silences the audio portion of the alert The alert is reset when a filled syringe is installed or when the plunger driver is moved back Note Since this function is sensitive to variations in syringe dimensions the exact timing of this alert may vary Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 80 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Alerts and Alarms Alarms Message Cause Correction CHECK BARREL continuous beeps and flashing ALERT light During motor movement the pump has detected that the barrel clamp is not fully closed on the syringe barrel or the syringe barrel is not properly seated in the cradle Pressing any key silences the audio portion of the alarm Make sure the syringe is centered in the barrel clamp cradle and that the syringe flange is in the barrel clamp flange slot To ensure proper seating use the heel of the hand to press the barrel clamp firmly against the syringe Motor movement is not allowed until the syringe is properly mounted CHECK FLANGE continuous beeps and flashing ALERT light During motor movement the pump has detected that the syringe flange is not seated in the flang
70. he pump is in Run state are listed below Mode Fields mL hr mL min RATE TOTAL ML SINGLE DOSE MANUAL AUTO SCHEDULE TOTAL ML CUSTOM DILUTION DOSE TOTAL ML All other modes RATE DOSE TOTAL ML The TOTAL ML field can be cleared while the infusion is running The TOTAL ML field is a data display and cannot be edited Edit Cancellation If a field has been opened for editing pressing EDIT again restores the previous value and cancels the edit operation The pump displays EDIT CANCELED for a few seconds Example Select mL hr mode and program a B D 60 mL syringe Enter 99 in the RATE field and a volume limit of 60 mL The RATE field annunciators flash to show it is the current field Pressing CLR at this point only results in an invalid key error beep Press EDIT Enter another valid number Press EDIT again This will undo the change restore the previous value 99 and display EDIT CANCELED Page 50 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Detailed Instructions Number Out of Range Data Test Every programmable field is limited to a particular range of allowed program values depending on the syringe drug concentration and other factors Attempting to program a value outside the acceptable range results in a PUMP LIMIT aler
71. hen the pump is counting time between scheduled doses only the top RUN light flashes Programming Notes 1 All time displays use standard time notation the two digits to the left of the colon show hours the two digits to the right show minutes The programmed delivery can be stopped at any time by pressing STOP The RUN light s then turn off the STANDBY light begins flashing and the TOTAL ML field stops counting up Press START to continue the infusion program Pressing STOP affects the NEXT DOSE IN time field in two different ways depending on the pump s infusion status at the time e f STOP is pressed while the pump is infusing a dose the three RUN lights are flashing in sequence the NEXT DOSE IN field will stop counting down until START is pressed again This feature allows the schedule to be delayed while ensuring delivery of the full dose e f STOP is pressed while the pump is counting down the time to the next dose only the top RUN light is flashing the NEXT DOSE IN field will continue to count down while the pump is stopped This feature allows editing during idle time without altering the overall schedule If a dose becomes due while the pump is stopped delivery of the dose will begin immediately when START is pressed If either the INFUSE field or the OVER field is edited the pump treats the result as a new infusion As a reminder DOSE CANCELED appears for a few seconds Printed from the Baxter Intranet
72. hieved The Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 53 Additional Functions and Operations purge accumulated volume will disappear when the START key is pressed and will not be included in the total volume 4 Repeat steps 2 and 3 as often as necessary to obtain a steady drip at the end of the tubing Purge Delivery Table Approximate Syringe Syringe Size Purge Purge Rate Purge Rate Manufacturer mL Volume mL mL hr mL min B D Plastic 1 0 02 11 0 19 3 0 08 38 0 63 5 0 15 74 1 2 10 0 22 107 1 7 20 0 39 188 3 1 30 0 50 241 4 0 60 0 75 366 6 1 Monoject 1 0 02 11 0 19 3 0 09 41 0 68 6 0 17 83 1 3 12 0 26 126 2 1 20 0 43 208 3 4 35 0 59 285 4 7 60 0 75 366 6 1 Terumo 1 0 02 11 0 19 3 0 09 41 0 69 5 0 18 87 1 4 10 0 27 129 2 1 20 0 44 210 3 5 30 0 58 276 4 6 60 0 75 438 7 8 NOTE Purge volume and rate information shown applies to pumps configured for Rate Range H High NOTE Purge volumes are approximately the amount delivered in a single complete purge delivery without slack in the drive system NOTE The volume of purged fluid is not added to the amount in the TOTAL mL field Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT
73. immediately A bolus can be programmed and delivered from Standby state even when the infusion has not been fully programmed The minimum program data required for bolus operation are Syringe manufacturer and size body weight if applicable and drug concentration if applicable In addition for CUSTOM DILUTION mode all remaining fields must be programmed Bolus Delivery During bolus delivery the text display reads BOLUS RUNNING and all three RUN lights flash simultaneously 1 To halt bolus delivery before the full bolus amount has been delivered press STOP The normal display and operating state resumes The text field reads BOLUS STOPPED for a few seconds 2 If the pump is allowed to deliver the full bolus amount the normal display and operating state are automatically restored The text field reads BOLUS COMPLETE for a few seconds In addition if the BOLUS COMPLETE alert is enabled the pump sounds two beeps and flashes the ALERT light Bolus Delivery Notes During bolus delivery the display shows the amount of the bolus that has been infused If bolus delivery is started during an infusion the infusion resumes automatically once the bolus delivery ends If the bolus delivery is stopped prematurely by pressing STOP the pump displays DOSE RESUMES for a few seconds The bolus volume is added to the TOTAL ML display after the bolus operation stops Bolus Review Press BOLUS to review the Bolus display The bolus infor
74. inge AS50 Infusion Pump Operator s Manual Page iii This page is intentionally blank Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page iv Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 About This Manual The Auto Syringe AS50 Infusion Pump Operator s Manual is intended for use by trained healthcare professionals familiar with infusions and infusion pump procedures Notations Used in this Manual Note Important information is preceded by the word Note in boldface type BOLD ITALIC TEXT Denotes text prompts as they appear on the pump s status display For example ML HR is the text that appears on the bottom line of the status display when selecting the mL hr infusion mode BOLD TEXT Denotes the keys on the pump s keypad For example the text press 123 CONFIRM means press the keys labeled 1 2 and 3 and then press the key labeled CONFIRM hh mm Denotes hours and minutes The left two digits represent hours and the right two digits represent minutes Important precautions are denoted by an exclamation point enclosed in a triangle as shown below IMPORTANT Read and understand all operating instructions and the Precautions on page 5 before using the Auto Syringe AS50 Infusion Pump Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE C
75. l damage the front panel acetone acetoaldehyde ammonia benzene hydroxytoluene methylene chloride and ozone Do not use cleaners containing n alkyl dimethyl ethylbenzyl ammonium chloride unless they appear in the list of recommended cleaners in the Pump Maintenance section of this manual Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 72 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Conditions Requiring Service Cleaning Service cleaning is a procedure for removing foreign matter from areas that are not accessible through routine cleaning methods Service cleaning must only be performed by qualified individuals Instructions for service cleaning may be found in the Auto Syringe AS50 Infusion Pump Service Manual Conditions which require service cleaning include e Spillage into the pumping mechanism or into the barrel clamp flange clamp or plunger driver mechanism e Accumulation of foreign matter in areas not accessible to routine cleaning e Excessive syringe related alarms or alerts such as CHECK SYRINGE CHECK PLUNGER CHECK FLANGE or CHECK BARREL e Sticking of the plunger driver the barrel clamp or flange clamp Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump
76. l purge 28 MANUAL SCHEDULE mode 42 mfr codes 16 MIVACURI protocol 68 modes AUTO SCHEDULE 45 by unit per time frame 33 factory standard configuration 67 MANUAL SCHEDULE 42 SINGLE DOSE 41 Monoject deliverable volumes 26 purge delivery 54 rate ranges 25 MUSRELAX library 68 N NEAR END alert 66 next dose selection 17 NITROGLY protocol 68 NITROPRU protocol 68 NO LIBRARY error 79 NO LIBRARY IS ENABLED error 79 NOREPINE protocol 68 NOT ALLOWED error 79 number out of range 51 O occlusion sensitivity 65 on charge light 19 ON OFF switch 30 illustration 9 operating instructions battery time 15 charging the battery 69 checking lamp test 31 IV pole clamp 70 IV pole loop 71 manual purge 28 mounting the syringe 28 purging 53 simplified 10 states 20 see also maintenance programming OUT OF RANGE error 79 over body wt selection 17 P plunger assembly 9 pole clamp attach recess 9 mounting pins 9 POWER FAULT fail safe alarm 83 power requirement 15 precautions 5 epidural administration 7 programming AUTO SCHEDULE mode 45 bolus 56 by unit per time frame 33 continuous infusion modes 12 CUSTOM DILUTION mode 39 during run state 50 during standby state 48 field selection 48 getting started 11 MANUAL SCHEDULE mode 42 modes 35 overview 32 48 selecting a protocol 32 selecting a protocol library 32 selecting an infusion mode 33 Printed from the Baxter Intranet
77. lert or alarm occurs Run State There are two Run states Run Delivering state and Run Counting state In Run Delivering state the infusion program is running and the pump is delivering an infusion The three RUN lights flash in a falling drop pattern In Run Counting state the infusion program is counting time until the next dose is due and the pump is not delivering an infusion The top RUN light flashes Note Bolus and Purge operations are special infusion states The RUN lights flash in unison when bolusing or purging in both Standby and Run states Data Display and Entry Numeric Data Time Data Fields Automatic Decimal Flashing Data Flashing Annunciators Data Test Numbers are displayed in a right justified format A leading zero appears before decimal values when the field size permits For example the value 12 is displayed as 0 12 In time fields values are displayed right justified Leading zero es are automatically entered if needed For example 1 minute is entered by pressing 1 CONFIRM and is displayed as 0 07 If a number is entered without a decimal point the pump automatically enters a decimal point to the right of the number when CONFIRM is pressed The data within a field flashes to show that the field has been opened and is ready to be programmed or edited The annunciators for the current field flash The current field will be opened for editing when EDIT is pressed All ente
78. library press A or W to change the Y to N and press CONFIRM When a library has been selected the pump displays a VIEW protocol name prompt for each enabled protocol A pending Y response is also displayed To begin reviewing a protocol press CONFIRM to accept the pending response To skip a protocol press A or V to change the Y to N and press CONFIRM For each selected protocol the default mode if any is displayed in the text field for example MG KG HR and concentration dose and rate default values if any are shown in their usual fields Press CONFIRM to view the default bolus size BOLUS SIZE is displayed in the text field Press CONFIRM again to view the bolus maximum rate BOLUS MAX RATE is displayed in the text field Note Dashes are displayed whenever a default value is not specified by the protocol If the protocol specifies bolus prevention NO BOLUS is displayed instead of BOLUS SIZE If no defaults are specified by the protocol ALL MODES is displayed when the pro tocol is initially selected Press CONFIRM to advance to the next protocol When the last protocol in a library has been presented for viewing the next VIEW library name prompt is displayed See the Auto Syringe AS50 Infusion Pump Technical Manual for instructions on creating and editing protocols Modes Group VIEW MODES This option group displays the name of each enabled infusion mode Each listing shows only the mode name for example ML HR
79. luid is not intended to be infused into the patient Display totals are rounded up at the digit displayed at the far right Example if a total delivered value is 0 005 the pump displays 0 07 If a total delivered value is 30 15 the pump displays 30 2 If an accumulated total becomes too large to display that is over 999 the field changes to EEE Expanded Data Display The status display generally displays only the most important infusion information Pressing CONFIRM when the pump is fully programmed causes the pump to temporarily display additional program syringe and battery voltage information Press CONFIRM again to restore the normal display immediately If no key is pressed the normal display automatically resumes in a few seconds Backlight Feature The status display backlight is lit wnenever the charger is connected and the pump power is on Control of the backlight when the charger is not connected is determined by the SET BACKLITE configuration option group When the charger is not connected and this option is enabled for use the pump turns on the backlight for the preconfigured time period following a keypress Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 60 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Configuration The pump can be custom configured to meet particular need
80. mL The Volume Limit feature triggers an alarm after the pump has delivered the pre programmed volume of drug With this option enabled a NEAR END alert is issued when the Volume Limit will be reached within a preconfigured time period at the current rate of infusion See Near End Alert on page 66 The Identifier is not a configuration group but is included here for reference purposes The Identifier is a short message up to eight characters that is displayed for three seconds following the Lamp Test The Identifier can be created or edited during the pump configuration process Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 66 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Configuration Terminating Configuration Review When the last configuration group option has been reviewed the pump automatically restarts the Lamp Test as if it had just been turned on To cancel Configuration Review at any time turn the pump off Custom Configuration The pump can be reconfigured as often as desired to select features that best suit the needs of the healthcare facility If there is any question regarding the pump s current configuration or applicability for a particular clinical application the operator and healthcare professionals should verify that the settings are appropriate While no special tools are nee
81. mation will be displayed for about 10 seconds or the normal display can be restored immediately by pressing BOLUS or CONFIRM Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 57 Additional Functions and Operations Bolus Editing The bolus size can be edited during bolus programming and after a bolus has been fully programmed A bolus may be edited during an infusion without interrupting normal delivery 1 2 Press BOLUS to display the PRESS EDIT TO EDIT BOLUS SIZE prompt Press EDIT to open the bolus size field Use A and V or the digit keys to modify the value as necessary and press CONFIRM to complete the edit The pump displays BOLUS READY Press START to begin bolus delivery immediately or press CONFIRM to save the bolus data and return to the normal display Repeating a Bolus Delivery To repeat a bolus delivery 1 Press BOLUS to display the bolus size 2 Review the bolus program data 3 Press START Changing the Syringe To continue an infusion when a syringe becomes empty or to flush a line the syringe may be replaced when the pump is in the Standby state If the new syringe does not have the same barrel size as the currently programmed syringe 1 The pump displays VERIFY NAME where name refers to the currently programmed syringe
82. n mode may have been selected auto matically 1 Atthe SELECT MODE AY prompt use A or V to display the available infusion mode selections Press CONFIRM to select the desired infusion mode 2 Use A or V and CONFIRM as required to select the syringe manufacturer and size Note lf a protocol has been selected a default drug concentration may appear automat ically If a default drug concentration is displayed use A and V or the digit keys to modify this value as necessary and press CONFIRM to complete the data entry 3 Enterthe drug concentration CONC in mg mL Press CONFIRM to complete the data entry Note lf a protocol has been selected a default dose may appear automatically Use A and V or the digit keys to modify this value as necessary and press CONFIRM to complete the data entry 4 Enterthe dose in mg hr mg min mcg hr or mcg min depending on the infusion mode selected Press CONFIRM to complete the data entry The pump automatically calculates and displays the equivalent rate in mL hr Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 36 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions Bolus in mg hr mg min mcg hr and mcg min Modes Note If a protocol has been selected bolus delivery may be disallowed or a default bolus size may appear automatically If a default bolus size
83. ng it into use If the pump is being operated on battery power alone ensure that the battery has been charged as described in this manual e When the pump is first turned on verify that the Lamp Test is accurate see Display Battery and Syringe Sensor Check on page 75 e Verify all program data before pressing START e Wipe off spills immediately Do not allow fluid or residues to remain on the pump e Repeated incorrect identification of syringe size by Syringe Recognition may signify a pump fault condition or that a syringe manufacturer has made a dimensional change The pump should be removed from service as soon as possible so that the problem can be investigated Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 6 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Precautions e lf the Size Override configuration option is enabled an operator can manually override the Syringe Recognition feature Incorrect syringe information may cause delivery errors Special Precautions for Epidural Administration e Epidural administration of anesthetics is limited to short term infusion not to exceed 96 hours with indwelling catheters specifically indicated for short term anesthetic epidural drug delivery e Epidural administration of analgesics is limited to use with indwelling catheters specifically indicated for either
84. nge AS50 Infusion Pump Programmer s Manual for details Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 22 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 General Information Infusion Modes The pump provides 18 infusion modes which fall into two major categories continuous and timed infusions Continuous infusions deliver at a steady programmed rate Timed infusions deliver one or more equal doses according to a programmed schedule The infusion modes are briefly described below For more information see Detailed Instructions on page 27 Continuous Infusion Modes mL hr and mL min The rate of infusion is programmed in mL hr or mL min depending on the mode selected A volume limit can be programmed for these modes only Units hr Units min mUnits hr and mUnits min The drug concentration is entered in units mL and the dose is entered in Units hr Units min mUnits hr or mUnits min depending on the mode selected The pump automatically displays the effective rate in mL hr mg hr Mg min mcg hr and mcg Min The drug concentration is entered in mg mL and the dose is entered in mg hr mg min mcg hr or mcg min depending on the mode selected The pump automatically displays the effective rate in mL hr mg kg hr mg kg min mcg kg hr and mcg kg min The patient s body weight is entered in kg the drug concent
85. nter the remaining program data as required The current field is the one that is flashing e Press number keys to enter the desired value e Press CONFIRM to complete the data entry 4 To change programmed data e Press A or V to move to the desired field e Press EDIT The current value flashes e Press A V or number keys to change the value e Press CONFIRM to complete the data entry 5 To program or edit the bolus size e Press BOLUS EDIT e Set the bolus size using the number keys e Press START to deliver a bolus or CONFIRM to store the bolus size 6 Toclear the Total Delivered display e Use Aor W to move to the TOTAL mL field e Press EDIT CLR to reset the total to 0 00 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 11 Simplified Instructions Programming the Continuous Infusion Modes Programming for each infusion mode proceeds in the sequence shown in the following table in top to bottom order Continuous Infusion Modes Units hr mcg min mcg kg min Units min mcg hr mcg kg hr mL hr mUnits hr mg min mg kg min CUSTOM Step mL min mUnits min mg hr mg kg hr DILUTION Select mode Select mode Select mode Select mode Select mode syringe syringe syringe syringe syringe manufacturer manufacturer manufacturer
86. on the order of a physician CAUTION Baxter Healthcare Corporation L V Systems Division Deerfield IL 60015 ade in Singapore Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 70 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 IV Pole Loop The pump includes an IV pole loop built into the top of the pump This loop may be swiveled as required or folded down and out of the way when not in use All the external moving parts must be kept clean of sticky films and other foreign substances Cleaning If spillage onto external surfaces occurs clean the surfaces immediately by the method described below Routine Cleaning and Disinfection Techniques Clean or disinfect the exterior of the device with a soft cloth or cotton swabs sparingly dampened with any of the recommended cleaning agents listed below Remove the rubber bumpers and clean or disinfect them separately Remove residual cleaner or disinfectant from all accessible surfaces with a soft cloth or cotton swabs sparingly dampened with water and allow to dry before replacing the rubber bumpers Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 71 Pump Maintenance Acceptabl
87. ows a high confidence rapid comparison of configurations between two pumps Reviewing Configuration Options The configurable options are organized into several groups each of which begins with a prompt that requires a yes or no response Each option group is identified by name in the text display field for example VIEW MODES The syringe manufacturer field displays Y for yes which represents the pending response Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 61 Configuration To begin reviewing the options within the current group press CONFIRM to accept the pending Yresponse The text field will display only the options that are configured Press CONFIRM to view each additional option When the last option in a group has been displayed the next option group prompt is displayed for example VIEW SYRINGES To skip an option group press either A or W to change the Y to N for no Press CONFIRM to advance to the next option group To review the Modes group the initial prompt is VIEW MODES Answering Y the default response opens up that group for review Answering N skips that group and prompts for the manufacturers group VIEW MFRS The following table shows the configuration groups and the options within each group Note Inactive o
88. perator s Manual 07 19 B3 430 Detailed Instructions This section provides detailed descriptions of the seven basic steps required to operate the pump Note Steps 1 and 2 can be performed after programming the pump if necessary for example if using CUSTOM DILUTION mode 1 Attach a Baxter 2N series or equivalent extension set to the syringe and manually purge the air from the filled syringe and tubing 2 Mount the syringe on the pump 3 Slide the ON OFF switch 7 to the on position refer to figure on the following page 4 Program the pump 5 Purge the syringe and tubing again to remove slack from the plunger driver 6 Connect the extension set to the patient 7 Press START to begin the infusion Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 27 Detailed Instructions Preliminary Operations Manual Purge 1 Attach a Baxter 2N Series or equivalent IV extension set to the filled syringe 2 Remove the sterile cap from the end of the tubing 3 Manually purge until a drop of fluid is visible at the end of the tubing 4 Replace the sterile cap on the end of the tubing Mount the Syringe 1 Graspthe FINGER GRIP 1 on the PLUNGER DRIVER 2 and pull it all the way out 2 Slide the PLUNGER DRIVER to the top of the pump and release the FINGER GR
89. protocol alarm 82 EMPTY alarm 82 EMPTY LIBRARY error 78 enable DB9 port 65 entering data 20 epidural administration precautions 7 error code fail safe alarm 83 error responses table 78 expanded data display 60 F factory standard configuration 67 fail safe alarms table 83 field selection 48 FINISH EDITING error 78 flange slot 9 flashing annunciators 20 data 20 flow rate accuracy 15 range 15 function keys 18 FUSE FAILURE fail safe alarm 83 G general description 3 information 15 H hospital identifier 66 identifier 66 IDLE ALARM alert 66 infusion modes continuous 23 overview 23 selecting 33 timed 24 infusion rate ranges 25 selection 16 input output port RS232 9 intended use 1 ISOPROTE protocol 68 IV pole clamp 70 IV pole loop details 71 illustration 9 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Index 2 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 K key sounds 21 keypad description 18 illustration 9 KEYPAD LOCKED error 79 L LCD panel description 16 illustration 9 LINE OCCLUDED alarm 6 82 LOAD SYRINGE error 79 lock light 19 activating 59 auto lock 65 Lock function 59 maintenance cleaning and disinfecting 71 daily check display and syringe sensor 75 keypad 75 mechanical 74 service cleaning 73 manua
90. ptions are not shown in Configuration Review mode Configuration Review Table GROUP PROMPT GROUP SELECTIONS VIEW LIBRARY List of enabled protocol libraries VIEW MODES ML HR MG HR MCG KG HR ML MIN MG MIN MCG KG MIN UNITS HR MCG HR CUSTOM DILUTION UNITS MIN MCG MIN SINGLE DOSE MUNITS HR MG KG HR MANUAL SCHEDULE MUNITS MIN MG KG MIN AUTO SCHEDULE VIEW SYRINGES B D MONOJECT TERUMO VIEW DEFAULTS DFAULT LIBRARY DFAULT MODE DFAULT PROTOCOL DFAULT MFR VIEW MISC REMOTE CONTROL PSI RANGE AUTO LOCK LIBRARY AUDIO RANGE SET BACKLITE SIZE OVERRIDE RATE RANGE ENABLE DB9 PORT VIEW ALERTS IDLE ALARM BOLUS COMPLETE VOLUME LIMIT NEAR END DOSE COMPLETE Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 62 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Configuration Configurable Options The option groups and configurable options are listed here and in the table above Each option is described in the following paragraphs The option is displayed exactly as listed in the paragraph title unless otherwise noted Protocol Library Group VIEW LIBRARY This option group displays the drug protocols that are enabled The pump displays a VIEW library name prompt for each enabled protocol library A pending Y response is also displayed To select a library press CONFIRM to accept the pending response To skip a
91. r excessively warm conditions Replacement of the battery every 16 months is recommended for optimal pump performance Use only 900 Series chargers or other accessories that are labeled specifically for use with Auto Syringe AS40A or AS50 Series Infusion Pumps The standard battery charger USA is Model C AS40 01 900 120VAC OUTLET RECEPTACLE CHARGER PLUG Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 69 Pump Maintenance IV Pole Clamp The pump is supplied with a detachable adjustable pole clamp which allows it to be mounted to a standard vertical IV pole The pole clamp can also be adjusted to allow the pump to be used on a horizontal pole To attach the pole clamp to the pump first slide the clamp in place so that the MOUNTING PIN CUTOUTS 1 on the clamp engage the MOUNTING PINS 5 built into the rear of the pump Tighten the MOUNTING SCREW 4 into the threaded RECESS 6 just below the battery cover Tools are not required for this operation The JAW 3 clamps the pump to the IV pole Turn the KNOB 2 counterclockwise to open the jaw and clockwise to close it Tighten the knob by hand only Do not use tools to tighten the knob Cautions Federal U S A law restricts this device to the sale by or
92. ration is entered in mg mL and the dose is entered in mg kg hr mg kg min mcg kg hr Or mcg kg min depending on the mode selected The pump automatically displays the effective rate in mL hr CUSTOM DILUTION In this mode the pump is programmed for a continuous infusion and the drug concentration is adjusted for a target infusion rate and dose The target rate is entered in mL hr the patient s body weight is entered in kg the initial drug concentration is entered in mg mL the target dose is entered in mcg kg min and the final volume is entered in mL The pump calculates and displays the volume of drug in mL to be added to the infusion base solution to produce a final concentration that achieves the target rate and target dose The final concentration is displayed when the infusion is initiated Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 23 General Information Timed Infusion Modes SINGLE DOSE In this mode the pump is programmed to infuse a single dose over a specified period of time The dose is entered in mL and the time period is entered in hours and minutes MANUAL SCHEDULE In this mode the pump is programmed to infuse a dose over a specified period of time and to repeat the dose at specified intervals The dose is entered in mL and the time period and in
93. red data is tested when CONFIRM is pressed If the entered value is too large or too small the pump issues a PUMP LIMIT alert and substitutes the nearest acceptable value Press CONFIRM to accept the value or enter a different value Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 20 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 General Information Arrow Keys Arrow keys can be used instead of individual digits for selecting predefined responses incrementing or decrementing fields In general arrow keys cannot be used to initialize fields that have been cleared to dashes except for syringe size and manufacturer fields Key Sounds An audible click provides confirmation of each keypress The pump indicates an invalid keypress by sounding a short beep Simultaneous keypresses are ignored Dashes Dashes are displayed when a field is clear and open for programming In general digit keys must be used to enter a value in a dashed field If an arrow key is pressed while dashes are displayed the pump beeps and displays the message USE DIGITS Protocol Library Feature The Protocol Library feature is a configurable option that allows authorized personnel to store named sets or protocols of frequently used programming data Protocols may also be grouped into libraries Using a protocol can simplify the programming proces
94. ree RUN m lights flash in CAICHARIRE sequence in a falling drop pattern STANDEY LJ L LJ LJ EYETEM d When the pump is counting time until an infusion is to begin only the top RUN light flashes When a bolus or purge is in progress all three RUN lights flash simultaneously The red ALERT light flashes during an alert or alarm The status display and remaining status lights may display additional information When flashing the red BATTERY light indicates that the battery charge is low If the battery discharges significantly the BATTERY light stays on constantly and the pump goes into a fail safe alarm state The green ON CHARGE light indicates that the battery charger is plugged in The yellow STANDBY light flashes to indicate that the pump is in Standby state The yellow LOCK light indicates that the keypad is locked The red SYSTEM light indicates a malfunction The pump cannot operate until the problem is corrected The infusion must then be reprogrammed Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 19 General Information Operating States Standby State When the pump is in Standby state the infusion is stopped and the STANDBY light flashes If the pump is left in Standby state for more than two minutes a PUMP IS IDLE a
95. rogrammed volume of drug over a specified period of time The infusion is programmed in terms of dose volume and dose duration 1 At the SELECT MODE AY prompt use A or V to display the available infusion mode selections Press CONFIRM to select the desired infusion mode Use A or V and CONFIRM as required to select the syringe manufacturer and size Enter the dose volume INFUSE in mL Press CONFIRM to complete the data entry Enter the dose duration OVER in hours and minutes Press CONFIRM to complete the data entry Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 41 Detailed Instructions SINGLE DOSE Mode Programming Notes 1 All time displays use standard time notation the two digits to the left of the colon show hours the two digits to the right show minutes 2 If either the INFUSE field or the OVER field is edited the pump treats the result as a new infusion As a reminder DOSE CANCELED appears for a few seconds Example Program the pump to infuse 5 mL over 5 minutes using a B D 30 mL syringe Stop the infusion when the TOTAL ML field shows that about 2 mL have been delivered Now edit the OVER field to 6 minutes note that DOSE CANCELED appears for a few seconds and start the infusion When the pump stops after 6 minutes about 7 mL will have
96. ry 5 Enter the interval EVERY in hours and minutes This is the time from the start of one dose to the start of the next dose Press CONFIRM to complete the data entry 6 Enter the delay NEXT DOSE IN then press CONFIRM This is the time interval from when START is pressed until the first dose becomes due Enter 0 00 to begin infusing the first dose immediately Dose Due Note START must be pressed to begin infusing each dose The NEXT DOSE IN field shows the time remaining until the next dose is due to be delivered When this time counts down to 0 00 the pump signals that the dose is due by flashing the ALERT and STANDBY lights sounding continuous beeps and showing DOSE DUE in the text field START must be pressed to begin infusing each dose When a dose is due pressing any key other than START silences the audio turns off the DOSE DUE prompt and ALERT light and leaves the pump in Standby state but does not begin dose delivery Counting Time Display The three RUN lights flash in a falling drop pattern while the pump is infusing When the pump is counting time between scheduled doses only the top RUN light flashes Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 43 Detailed Instructions A Programming Notes 1 Precaution In MANUAL
97. s or to simplify infusion programming Instructions for setting configuration options are given in the Auto Syringe AS50 Infusion Pump Technical Manual Configuration Review The Configuration Review feature allows the pump s configuration to be examined without risk of accidental alteration This feature is activated by entering the code number 123 at the initial prompt SELECT MODE AY or SELECT PROTOCOL AY The error beeps that occur when 123 is entered are provided to discourage patient tampering and may be ignored Date and Time Display After 123 is entered the date and time are briefly displayed The time is displayed in hours and minutes separated by a decimal point HH MM Software and Configuration Version Display Following the time and date display the software and configuration version numbers are briefly displayed The first line of the text display indicates the pump software version The second line is divided into two fields The left field displays the factory configuration version and the right field displays a four character checksum that uniquely identifies the current configuration including protocols as shown below Example The display for software version 6 00 factory configuration version D1 and a current configuration checksum of 3AC5 would be shown on the display as follows software version gt V 7 00 factory configuration 2 D1 3 A C 5 configuration checksum The checksum field all
98. s and flashing ALERT light Manual Schedule Infusion Mode only The NEXT DOSE IN timer has reached 0 00 and the next dose is due to be delivered Pressing any key silences the audio portion of the alarm Press START to deliver the scheduled dose Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 81 Alerts and Alarms Message Cause Correction EMPTY or EMPTY protocol continuous beeps and flashing ALERT light The syringe is empty Pressing any key silences the audio portion of the alarm Release and slide the plunger driver back at least 1 6 inches 4 cm to reset the alarm Note due to variability in syringe dimensions a LINE OCCLUDED alarm may occur before the EMPTY alarm Option The infusion may be restarted without resetting EMPTY condition The pump will continue to display EMPTY and ALERT light will continue flashing The infusion will continue until STOP is pressed or a LINE OCCLUDED alarm occurs FINISH EDITING continuous beeps and flashing ALERT light The Rate or Dose field is being edited while an infusion is in progress and there has been no keypress for 15 seconds Pressing any key silences the audio portion of the alarm Complete the editing operation LINE OCCLUDED continuous beeps
99. s by providing default selections at some of the data entry steps For instructions on selecting a protocol see Using Protocols on page 32 The Protocol Library feature is enabled or disabled through the pump configuration mode This procedure can be done by authorized personnel on site and is described in the Auto Syringe AS50 Infusion Pump Service Manual A protocol may specify any of the following Default Infusion Mode If a protocol specifies a default infusion mode the infusion mode programming step is skipped The pump briefly displays the infusion mode name before proceeding directly to the syringe manufacturer programming step Default Concentration If a protocol specifies a default concentration the default value appears automatically at the start of the concentration programming step This value may be changed or it may be accepted by pressing CONFIRM Default Dose or Rate If a protocol specifies a default dose or rate the default value appears automatically at the start of the ENTER DOSE or ENTER RATE programming step This value may be changed or it may be accepted by pressing CONFIRM Bolus Prevention If a protocol specifies bolus prevention the pump will not allow a bolus to be programmed or delivered If BOLUS is pressed the pump beeps and displays the message NOT ALLOWED Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT
100. s written permission of Baxter To order additional copies of this manual or other related manuals contact your local Baxter Service Center Disclaimer The information in this document has been carefully examined and is believed to be entirely reliable However no responsibility is assumed for inaccuracies Furthermore Baxter reserves the right to make changes to any products herein to improve readability function or design Baxter does not assume any liability arising out of the application or use of any product or circuit described herein neither does it cover any license under its patent rights nor the rights of others Trademark Information Baxter the Baxter wordmark Micro Volume and Auto Syringe are trademarks of Baxter International Inc in the U S Other trademark applications pending Terumo is a trademark of Terumo Medical Corporation ASCEND TOR and Hi Tor Plus are trademarks of Huntington Professional Products LpH SE and Septisol are trademarks of Steris Corporation Cidex 7 is a trademark of Johnson amp Johnson Other product names appearing in this manual are the property of their respective owners Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Table of Contents About This Manual i uw xac CR RR Cu RU AR C eee eee ee wa 1 Notations Used in this Manual RR s ERE RR RR ERETe Ras 1 Device Description 2555 5 sa asas daa kx Ru R
101. short or long term analgesic epidural drug delivery e To prevent infusion of drugs that are not indicated for epidural use do not use IV extension sets that incorporate injection sites during epidural delivery e tis strongly recommended that pumps used for epidural drug delivery be clearly differentiated from pumps used for other routes of administration WARNING Epidural administration of drugs other than those indicated for epidural use could result in serious injury to the patient Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 7 Precautions This page is intentionally blank Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 8 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Operation Simplified Instructions Refer to the figure below for the location and description of the pump s operating controls The item numbers shown in the figure are referenced throughout the operating instructions also 1 2 10 11 12 13 14 15 Status Display Plunger Assembly Finger Grip Plunger Clamp Plunger Driver Status Panel Keypad Flange Slot Barrel Clamp Cradle Charger Port IV Pole Loop Pole Clamp Mounting Pins Bat
102. t The pump beeps and substitutes the nearest acceptable value Press CONFIRM to accept the value or program a new value Whenever a data field is edited the pump tests the remaining program data fields for range limits If there is a conflict the affected fields are cleared to dashes and the first cleared field is automatically opened for editing As each cleared field is reprogrammed the next cleared field if any is automatically opened All cleared fields must be reprogrammed before the infusion can be started Example Reprogramming the SYRINGE MFR field automatically clears the SYRINGE SIZE field Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 51 Detailed Instructions This page is intentionally blank Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 52 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Additional Functions and Operations Purge Function The Purge function advances the syringe plunger driver a preset distance Manually purge the syringe and IV extension set before mounting the syringe in the pump Perform the Purge function after the syringe is mounted on the pump before connecting to the patient to eliminate slack
103. terval are entered in hours and minutes The pump alerts the operator when a dose is due to start The operator must then press START to initiate each dose AUTO SCHEDULE In this mode the pump is programmed to infuse a dose over a specified period of time and to repeat the infusion at specified intervals The dose is entered in mL and the time period and interval are entered in hours and minutes Whereas MANUAL SCHEDULE mode requires the operator to press START to initiate each dose AUTO SCHEDULE mode automatically starts each dose when it is due Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 24 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 General Information Syringe Data Tables This table shows the performance ranges for infusion delivery parameters which are a function of the syringe dimensions Infusion Rate Ranges sying Bvinde Minimum ie Minimum Maximum Flow Flow Rate Flow Rate Manufacturer Size mL Rate Rate a j mL min mL min mL hr mL hr B D Plastic 1 0 01 11 0 001 0 183 3 0 02 38 0 001 0 633 5 0 03 74 0 001 1 233 10 0 1 107 0 002 1 783 20 0 1 188 0 002 3 13 30 0 1 241 0 002 4 01 60 0 1 366 0 002 6 1 Monoject 1 0 01 11 0 001 0 183 3 0 02 41 0 001 0 683 6 0 03 83 0 001 1 383 12 0 1 126 0 002 2 1 20 0 1 208 0 002 3 46 35 0 1 285 0 002 4 75 60 0 1 366 0 002 6 1 Ter
104. tery Cover Pole Clamp Attach Recess Barrel Clamp Release Levers ON OFF Switch DB 9 RS 232 Serial Communication Port Printed from the Baxter Intranet Bottom View Back View THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 9 Simplified Instructions Note Steps 1 and 2 can be performed after programming the pump if necessary for example if using CUSTOM DILUTION mode 1 Attach an IV extension set to the syringe and manually purge the air from the filled syringe and tubing Baxter recommends the following IV extension sets Catalog Number Description 2N3345 36 Micro Volume IV extension set 2N3346 36 High Flow Rate IV extension set 2N3347 36 Micro Volume IV extension set with 0 22 micron filter 2N3348 60 Micro Volume IV extension set 2N3349 60 High Flow Rate IV extension set 2N3350 60 Micro Volume IV extension set with 0 22 micron filter pLuNceR 2 Mount the syringe on the pump FLANGE the slot 5 BARREL e Pull out the plunger driver 2 slide it to top of the pump and release it e Using the lever 13 on the side or rear of the pump release the barrel clamp 6 e Place the syringe in the cradle 7 making sure the syringe flange fits into Close the barrel
105. tional information e Alarm Immediate action is required in order to proceed with operation The following indications occur The pump stops delivering the infusion The ALERT light flashes The pump beeps The front panel and status lights may display additional information e Failsafe Alarm A malfunction has occurred that could affect the safe operation of the device The pump goes into a failsafe shutdown The following indications occur The pump stops delivering the infusion and cannot be restarted The infusion must be reprogrammed after the problem is corrected The SYSTEM light is on continuously The pump beeps The front panel and status lights may display additional information The pump must be turned off and back on to clear the alarm If any of the aforementioned conditions occur refer to the charts on the following pages for instructions on correcting the alert or alarm condition Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 77 Alerts and Alarms Alerts Message Cause Correction BOLUS COMPLETE may be accompanied by 2 beeps and flashing ALERT light The bolus has completed None required CHARGE IS LOW 10 beeps flashing BATTERY light The battery needs charging If a charger is not connected or is not ch
106. to Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Alerts and Alarms Failsafe Alarms Failsafe alarms occur only when proper operation cannot be assured The infusion cannot be restarted and must be reprogrammed after the problem has been corrected The pump must be turned off to clear the alarm Message Cause Correction ERROR CODE continuous two tone audio SYSTEM light on An internal error has been detected Repair is required Make a note of all displayed error codes and the conditions prior to the error Take the pump out of service Note In some cases there may not be a legible error code display CHARGE DEPLETED continuous two tone audio SYSTEM and BATTERY lights on The battery voltage is below minimum operating level Connect the charger and recharge the battery for a minimum of 16 hours FUSE FAILURE continuous two tone audio SYSTEM and BATTERY lights on Fuse self test has detected a fuse failure Repair is required Take the pump out of service POWER FAULT continuous two tone long beeps SYSTEM and BATTERY lights on The pumps internal power supply is out of tolerance or there is a fault in the charger Repair is required Take the pump and charger out of service Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 A
107. umo 1 0 01 11 0 001 0 183 3 0 02 41 0 001 0 683 5 0 03 87 0 001 1 45 10 0 1 129 0 002 2 15 20 0 1 210 0 002 3 5 30 0 1 276 0 002 4 6 60 0 2 438 0 004 7 3 Maximum Flow Rates shown apply to pumps configured for Rate Range H High Rate Range High limits maximum rate to maximum rate for syringe used Rate Range Medium limits maximum rate to 120 mL hr 2 mL min Rate Range Low limits maximum rate to 15 mL hr 0 25 mL min Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT 07 19 B3 430 Auto Syringe AS50 Infusion Pump Operator s Manual Page 25 General Information Deliverable Volumes This table shows the minimum and maximum programmable settings for all syringes that can be used with the pump The limits shown apply to bolus volume limit single dose and scheduled dose deliveries Syringe Minimum Volume Maximum Volume Manufacturer Syringe Size mL mL mL B D Plastic 1 0 03 1 3 0 08 3 5 0 1 5 10 0 1 10 20 0 1 20 30 0 1 30 60 0 1 60 Monoject 1 0 03 1 3 0 08 3 6 0 1 6 12 0 1 12 20 0 1 20 35 0 1 35 60 0 1 60 Terumo 1 0 03 1 3 0 08 3 5 0 1 5 10 0 1 10 20 0 1 20 30 0 1 30 60 0 1 60 Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 26 Auto Syringe AS50 Infusion Pump O
108. ure is especially useful when a particular protocol library protocol infusion mode or syringe manufacturer is likely to be used repeatedly Miscellaneous Group VIEW MISC This displays the miscellaneous options that are enabled The Miscellaneous group options are Remote Control Protocol Library Size Override Occlusion Sensitivity Audio Range Rate Range Auto Lock Backlight and Enable DB9 Port Remote Control This option allows the operator to control the pump from a remote device such as a computer A standard 9 pin connector DB9 located on the rear of the pump is provided for an RS 232 C communications link between the pump and the computer See the Auto Syringe AS50 Infusion Pump Programmer s Manual for details Protocol Library LIBRARY This option allows the operator to select from one or more protocol libraries containing frequently used program data Protocols are defined by authorized personnel according to procedures detailed in the Auto Syringe AS50 Infusion Pump Service Manual Size Override SIZE OVERRIDE modifies the syringe programming process by allowing the operator to select a syringe size that differs from the size detected by the pump Instead of a VERIFY xx ML prompt the pump displays SELECT SIZE W A When V or A is pressed the pump displays the syringe size that best matches the syringe However the operator can press V or A to select a different size When CONFIRM is pressed to complete the syring
109. uto Syringe AS50 Infusion Pump Operator s Manual Page 83 Alerts and Alarms This page is intentionally blank Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 84 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Warranty and Service Information Warranty Baxter Healthcare Corporation Baxter warrants that the equipment shall be free from defects in material and workmanship when delivered to the original purchaser Baxter s sole obligation shall be limited to repair or replacement at Baxter s option and expense of the defective part or unit for a period of one year following the date of initial delivery The applicable period for batteries is limited to a period of 12 months following the date of initial delivery The warranty extends only to the original purchaser and is not assignable or transferable and shall not apply to auxiliary equipment or disposable accessories Baxter s commitment to repair or replace the product will be null and void if this product is used contrary to the directions for use contained in the labeling Baxter will assume no responsibility for incidents which may occur if the product is not used in accordance with product labeling THERE ARE NO OTHER WARRANTIES INCLUDING ANY IMPLIED WARRANTY AND ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WHICH EXTEND BEY
110. while the pump is stopped the DOSE DUE alarm will be suppressed and delivery of the dose will begin immediately when START is pressed Printed from the Baxter Intranet THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Page 44 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 Detailed Instructions 4 lf either the INFUSE field or the OVER field is edited the pump treats the result as a new infusion As a reminder DOSE CANCELED appears for a few seconds Example Program the pump to infuse 5 mL over 5 minutes using a B D 30 mL syringe Stop the infusion when the TOTAL ML field shows that about 2 mL have been delivered Now edit the OVER field to 6 minutes note that DOSE CANCELED appears for a few seconds and start the infusion When the pump stops after 6 minutes about 7 mL will have been delivered 2 mL from the original infusion and 5 mL from the edited infusion 5 Pressing CONFIRM during delivery briefly displays additional program data 6 Bolus operation is not available in this delivery mode Programming AUTO SCHEDULE Mode AUTO SCHEDULE mode is a timed infusion mode for use when a programmed dose is to be repeated at regular intervals The infusion is programmed in terms of dose volume and dose duration and the time from the start of one dose to the start of the next Each dose delivery is automatically initiated AUTO SCHE
111. yringe is properly mounted CHECK SYRINGE single beep and Standby light flashes At least two of the three syringe mounting points flange barrel plunger are not correctly positioned Check flange barrel and plunger and ensure that they are mounted correctly Motor movement is not allowed until the syringe is properly mounted DATA MISSING single beep START PURGE or BOLUS was pressed when the program information is incomplete Enter the additional data required EMPTY LIBRARY The selected protocol library Select a different library single beep contains no protocols FINISH EDITING Pressing START PURGE or Complete the editing process single beep BOLUS while a field is open for editing Page 78 Auto Syringe AS50 Infusion Pump Operator s Manual Printed from the Baxter Intranet 07 19 B3 430 THE USER IS RESPONSIBLE FOR CHECKING THE CURRENT ISSUE DATE CHANGE NUMBER BEFORE USING THIS DOCUMENT Message Cause Correction KEYPAD LOCKED single beep Pressing a key while the Lock function is active Press LOCK to unlock the keypad LOAD SYRINGE single beep Attempt to start an infusion without a syringe in place All three syringe detection sensors have failed Mount a syringe after manually purging If alert continues to occur have the pump serviced NO LIBRARY VIEW LIBRARY was selected and Press CONFIRM to procee

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